Immaculate Care Services Llc.

LBN: Immaculate Care Services Llc.
Immaculate Care Services Llc. is an health care organization with primary practice located at 5935 Knightsbridge Way , Portsmouth VA 23703-5506. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Immaculate Care Services Llc. can be contacted via phone (757) 335-2404, or through Savage, Minnie R via phone (757) 335-2404.

Contact Information

Primary practice address
5935 Knightsbridge Way Portsmouth VA 23703-5506
Phone: (757) 335-2404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Savage, Minnie R
Phone: (757) 335-2404

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1972087666
LBN Legal business name Immaculate Care Services Llc.
DBA Doing business as
Authorized official Savage, Minnie R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2018
Last updated Sep 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972087666 NPPES
Virginia MEDICAID A24698259

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