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Organization

CARE ADVANTAGE - STAY AT HOME, LLC

Active
Other names
Stay at Home Assisted Living, LLC, Stay at Home Personal Care
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDI SMITH ADMINISTRATOR (SENIOR ADMINISTRATOR)
(757) 708-2191
Entity
Organization

Contact information

Practice address
651 RIVER WALK PKWY, CHESAPEAKE, VA 23320-6819
(757) 392-1001
(844) 870-4775
Mailing address
10041 MIDLOTHIAN TURNPIKE, NORTH CHESTERFIELD, VA 23235
(804) 323-9667
(804) 330-3156

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-13745
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01-00424537
VA
05
01-00524245
VA
Enumeration date
01/30/2015
Last updated
05/24/2017
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