Provider Demographics
NPI:1730503202
Name:VIRGINIA CAREGIVERS, LLC
Entity type:Organization
Organization Name:VIRGINIA CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOUTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-531-2912
Mailing Address - Street 1:228 S WASHINGTON ST STE 3-1
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5408
Mailing Address - Country:US
Mailing Address - Phone:202-531-2912
Mailing Address - Fax:
Practice Address - Street 1:228 S WASHINGTON ST STE 3-1
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5408
Practice Address - Country:US
Practice Address - Phone:571-483-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141104251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health