Provider Demographics
NPI:1487418885
Name:COMMONWISE HOLDING CO
Entity type:Organization
Organization Name:COMMONWISE HOLDING CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-202-8565
Mailing Address - Street 1:2421 IVY RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4631
Mailing Address - Country:US
Mailing Address - Phone:434-202-8565
Mailing Address - Fax:434-485-5345
Practice Address - Street 1:2421 IVY RD STE 250
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4631
Practice Address - Country:US
Practice Address - Phone:434-202-8565
Practice Address - Fax:434-485-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care