Provider Demographics
NPI:1962093336
Name:CAYVALIA EXCHANGE LLC
Entity type:Organization
Organization Name:CAYVALIA EXCHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:AVAREITTA
Authorized Official - Middle Name:MARGARETTE
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:443-223-2285
Mailing Address - Street 1:3945 ELITE ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3370
Mailing Address - Country:US
Mailing Address - Phone:301-352-4000
Mailing Address - Fax:301-352-4001
Practice Address - Street 1:13221 OVALSTONE LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1148
Practice Address - Country:US
Practice Address - Phone:443-223-2285
Practice Address - Fax:301-352-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty