OrganizationCheryl Kabana-Ross, PcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address753 Thimble Shoals Blvd, Suite 2a, Newport News, VA 23606-3564(757) 594-9701PECOS EnrollmentBased on the most recent information from CMS, provider Cheryl Kabana-Ross, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245499722Provider TypeOrganizationFull NameCheryl Kabana-Ross, PcSubpartNoEnumeration Date6/9/2008Last Updated6/9/2008Contact InformationPractice LocationPractice Address753 Thimble Shoals Blvd, Suite 2a, Newport News, VA 23606-3564Phone(757) 594-9701Fax(757) 594-9830Mailing LocationMailing Address753 Thimble Shoals Blvd, Suite 2a, Newport News, VA 23606-3564Phone(757) 594-9701Fax(757) 594-9830Authorized OfficialNameKabana-Ross, Cheryl (President)Phone(757) 594-9701Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904001690VirginiaProvider IdentifiersIDDescriptionIssuerID083677DescriptionOtherIssuerOPTIMAVirginiaID155745DescriptionOtherIssuerVALUE OPTIONSVirginiaID8927090DescriptionMedicaidIssuerUnlistedVirginiaID285860DescriptionOtherIssuerANTHEM BLUE CROSS BLUE SHIELDVirginia