Provider Demographics
NPI:1831620715
Name:CAMERICARE HEALTH SERVICES
Entity type:Organization
Organization Name:CAMERICARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-266-6693
Mailing Address - Street 1:85 S. BRAGG ST., SUITE 500
Mailing Address - Street 2:CAMERICARE HEALTH SERVICES
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312
Mailing Address - Country:US
Mailing Address - Phone:470-266-6693
Mailing Address - Fax:
Practice Address - Street 1:8816 COPPER LEAF WAY
Practice Address - Street 2:
Practice Address - City:FAIRFAX STATION
Practice Address - State:VA
Practice Address - Zip Code:22039-3078
Practice Address - Country:US
Practice Address - Phone:703-493-9381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO171361251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health