Active NPI
'C' Casting Care
- Case Management Agency
- Chesterfield, VA
National Provider Identifier
1700031077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1401054180
- Legal business name
- 'C' CASTING CARE
- Practice address
- 5107 Blossomwood CT
Chesterfield, VA 23832-7023 - Phone
- (804) 763-4141
- NPI assigned
- Nov 29, 2008
- Last updated
- Apr 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Virginia Jackson, CNA
- Title
- Private Duty
- Phone
- (804) 274-0640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1401054180 | VA | Primary |
| Home Health Agency | 251E00000X | 1401054180 | VA | |
| Nursing Care Agency | 251J00000X | 1401054180 | VA |
Addresses
Primary practice location
5107 Blossomwood CT
Chesterfield, VA 23832-7023
Mailing address
5107 Blossomwood CT
Chesterfield, VA 23832-7023
Phone (804) 763-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157059574 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1700031077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5107 BLOSSOMWOOD CT",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238327023",
"telephone_number": "804-763-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 BLOSSOMWOOD CT",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238327023",
"telephone_number": "804-763-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "'C' CASTING CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-29",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "VIRGINIA",
"authorized_official_title_or_position": "PRIVATE DUTY",
"authorized_official_telephone_number": "804-274-0640",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "1401054180",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "1401054180",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "VA",
"license": "1401054180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0157059574",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.