Provider Demographics
NPI:1164249041
Name:CARE BEYOND MEASURE NORFOLK
Entity type:Organization
Organization Name:CARE BEYOND MEASURE NORFOLK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-509-4567
Mailing Address - Street 1:954 PHILPOTTS RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-3156
Mailing Address - Country:US
Mailing Address - Phone:757-509-4567
Mailing Address - Fax:
Practice Address - Street 1:954 PHILPOTTS RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-3156
Practice Address - Country:US
Practice Address - Phone:757-509-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health