Organization
PRIVACARE
Active
Other names
Care Advantage, Team Nurse, Team Nurse, Inc., Care Advantage, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ROYSTER (SR ACCOUNTING MANAGER)
(804) 323-9464
Entity
Organization
Contact information
Practice address
226 STARLING AVE, SUITE A, MARTINSVILLE, VA 24112-3833
(276) 632-3744
(276) 632-4881
Mailing address
226 STARLING AVENUE, SUITE A, MARTINSVILLE, VA 24112
(276) 632-3744
(276) 632-4881
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-10494
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-09494
STATE LICENSURE
VA
Enumeration date
03/05/2008
Last updated
03/08/2023
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