Abraxas Home Care

LBN: Abraxas Home Care
Abraxas Home Care is an health care organization with primary practice located at 14201 Pleasant Creek Pl , South Chesterfield VA 23834-6835. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Nursing Care, Agencies / In Home Supportive Care, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Abraxas Home Care can be contacted via phone (804) 714-6120, or through Wade, Dustin via phone (804) 714-6120.

Contact Information

Primary practice address
14201 Pleasant Creek Pl South Chesterfield VA 23834-6835
Phone: (804) 714-6120
Fax: (804) 505-2559
Website:
Map and Directions
Authorized official contact:
Name: Wade, Dustin BSHA, LPN, QMHP/QIDP
Phone: (804) 714-6120

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1063999498
LBN Legal business name Abraxas Home Care
DBA Doing business as
Authorized official Wade, Dustin BSHA, LPN, QMHP/QIDP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2018
Last updated Aug 30th, 2023 - about 3 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 1063999498 NPPES
Virginia Other 4387 DBHDS GROUP HOME LICENSE

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