CARE ADVANTAGE INC (NPI# 1801202536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801202536 |
| Entity Type | Organization |
| Organization Name | CARE ADVANTAGE INC |
| Other Organization Name | CARE ADVANTAGE FAIRFAX |
| Practice Address |
10680 Main St Fairfax VA 22030-3810 |
| Mailing Address |
10041 Midlothian Tpke North Chesterfield VA 23235-4815 |
| Practice Telephone | 7034364767 |
| Practice Fax Number | 7032727533 |
| Mailing Telephone | 8043239464 |
| Mailing Fax Number | 8043303156 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MS. DEBORAH J JOHNSTON (OWNER) |
| Authorized Official Telephone | 8043239464 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NOT ISSUED YET | 05 |
| Other Name | Type Code |
|---|---|
| CARE ADVANTAGE FAIRFAX | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529916 | Care Advantage Inc | Nursing Care | 2987 River Rd W, Goochland, VA 23063-3230 | 2011-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Care Advantage Inc. | 10041 Midlothian Tnpk, Richmond, Virginia 23235 |
| Street Address |
10680 MAIN ST |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833910 | Soo Woong Park | Internal Medicine | 10680 Main St, Ste 130, Fairfax, VA 22030-3811 | 2005-07-07 |
| 1043767874 | Kelly Gallo | Nurse Practitioner | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2016-09-09 |
| 1467690743 | T & J Chiropractic Inc | Acupuncturist | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2009-01-26 |
| 1619075330 | Jong Hee Cho | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2006-09-20 |
| 1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
| 1821054933 | James Patrick Kacedan | Obstetrics & Gynecology | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2006-04-26 |
| 1407824881 | Al-juburi Urology, Pllc | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2006-03-10 |
| 1396729372 | Amer Z Al-juburi | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196370 | Physiocore LLC | Home Health | 10268 Latney Rd, Fairfax, VA 22032-3256 | 2020-08-25 |
| 1891305686 | Global Resources and Supports | Home Health | 10560 Main St Ste 316, Fairfax, VA 22030-7175 | 2020-08-06 |
| 1851920946 | Bridge To Homecare | Home Health | 10605 Judicial Dr Ste B4, Fairfax, VA 22030-5167 | 2020-04-02 |
| 1326671348 | Comprehensive Care Services Agency LLC | Home Health | 3022 Javier Rd Ste 209, Fairfax, VA 22031-4657 | 2020-02-18 |
| 1831729409 | Maya Home Health Care LLC | Home Health | 3615 Chain Bridge Rd Ste C, Fairfax, VA 22030-3237 | 2020-01-22 |
| 1033755806 | Trillium Home Health Care, LLC | Home Health | 12471 Hayes Ct Unit 103, Fairfax, VA 22033-4298 | 2019-11-26 |
| 1700439593 | Vernon Davis Home Health Care Inc. | Home Health | 10400 Eaton Pl Ste 202, Fairfax, VA 22030-2208 | 2019-07-20 |
| 1881150803 | Care First LLC | Home Health | 4210 Mozart Brigade Ln Apt F, Fairfax, VA 22033-3955 | 2019-02-14 |
| 1669936365 | Ajir Home Care, LLC | Home Health | 3045 Mission Square Dr, Fairfax, VA 22031-1113 | 2019-01-27 |
| 1962974352 | Vitalityhome Healthcare, LLC | Home Health | 4123 Fountainside Ln, Fairfax, VA 22030-7402 | 2018-12-22 |
| Find all providers in FAIRFAX | ||||
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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.