Provider Demographics
NPI:1548698681
Name:KASEY CARE
Entity type:Organization
Organization Name:KASEY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:804-852-6304
Mailing Address - Street 1:2920 W BROAD STREET
Mailing Address - Street 2:SUITE 109
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-5103
Mailing Address - Country:US
Mailing Address - Phone:804-447-9227
Mailing Address - Fax:
Practice Address - Street 1:2920 W BROAD STREET
Practice Address - Street 2:SUITE 109
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-5103
Practice Address - Country:US
Practice Address - Phone:804-447-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health