Provider Demographics
NPI:1215649942
Name:CLINICARE, LLC
Entity type:Organization
Organization Name:CLINICARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:COVIL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:757-346-6865
Mailing Address - Street 1:1308 COPPER KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3393
Mailing Address - Country:US
Mailing Address - Phone:757-285-9591
Mailing Address - Fax:
Practice Address - Street 1:522 S INDEPENDENCE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1149
Practice Address - Country:US
Practice Address - Phone:757-346-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251J00000XAgenciesNursing Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care