COMMONWEALTH CARE SERVICES LLC (NPI# 1265851836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265851836 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CARE SERVICES LLC |
| Practice Address |
444 Pine Ridge Rd Petersburg VA 23805-1320 |
| Practice Telephone | 8049191126 |
| Mailing Telephone | 8049191126 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | JOVAT C BATES (OWNER) |
| Authorized Official Telephone | 8049191126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 2059-010001 | VA | Managed Care Organizations |
| Street Address |
444 PINE RIDGE RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679996870 | Jovat Bates | Counselor | 444 Pine Ridge Rd, Petersburg, VA 23805-1320 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902285174 | Aim Higher Supportive Services, Inc. | Exclusive Provider Organization | 1889 S Sycamore St, Petersburg, VA 23805-2730 | 2015-05-21 |
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|---|---|---|---|---|
| 1497224448 | Laquinta Martin | Exclusive Provider Organization | 930 Brookdale St, Martinsville, VA 24112-3105 | 2018-11-20 |
| 1972087666 | Immaculate Care Services LLC. | Exclusive Provider Organization | 5935 Knightsbridge Way, Portsmouth, VA 23703-5506 | 2018-09-19 |
| 1881145324 | Arbre De Vie Healthcare Services Partners, LLC. | Exclusive Provider Organization | 5804 Tajo Ave, Virginia Beach, VA 23455-4634 | 2016-10-19 |
| 1932658929 | Virginia Neuro Care | Exclusive Provider Organization | 7616 Seabrook Ln, Springfield, VA 22153-2163 | 2016-10-02 |
| 1063877041 | Sears Holdings Company | Exclusive Provider Organization | 2315 Wards Rd, Lynchburg, VA 24502-2101 | 2015-12-17 |
| 1073997953 | Jamarrs Hands | Exclusive Provider Organization | 3090 Bassett Heights Road Ext, Bassett, VA 24055-4812 | 2015-07-10 |
| 1265825699 | Uncle Sam's Home Care | Exclusive Provider Organization | 3223 Valley Pike, Suite #3, Winchester, VA 22602-5399 | 2015-03-10 |
| 1134530207 | Alpha & Omega Foster Care Service, Inc | Exclusive Provider Organization | 1503 Hardy Cash Dr, Hampton, VA 23666-2420 | 2014-05-12 |
| 1649680794 | Angels of God | Exclusive Provider Organization | 3007 Hanes Ave, Richmond, VA 23222-2620 | 2014-04-29 |
| 1538403993 | Priority Health Care | Exclusive Provider Organization | 2048 Midway Ave, Chesapeake, VA 23324-2849 | 2012-11-23 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.