Active NPIOrganization

Fajardo Home Care Program, INC.

Home Health in Fajardo, Puerto Rico

NPI Number1194750588
Practice location
375 Ave General Valero, Suite 109, Fajardo, PR 00738-4893
Fax
787-850-5270
Last updated
September 11, 2009

Fajardo Home Care Program, INC. is a healthcare organization based in Fajardo, PR. Fajardo Home Care Program, INC. practices in Fajardo, PR. The NPI Number for Fajardo Home Care Program, INC. is 1194750588 and holds a License No. 11621 (PR). The current practice location address for Fajardo Home Care Program, INC. is 375 Ave General Valero, Suite 109, Fajardo, PR 00738-4893 and can be reached out via phone at 787-868-6361 and via fax at 787-850-5270.

Provider Profile Details

NPI Number
1194750588
Provider Name
Fajardo Home Care Program, INC.
Provider Entity Type
Organization
Address
375 Ave General Valero, Suite 109, Fajardo, PR 00738-4893
Phone Number
787-868-6361
Fax Number
787-850-5270
Primary Taxonomy
Home Health · 251E00000X
Organization Subpart
No
Authorized Official
Carmen Santiago, DRPH · Ceo · 817-310-1100
Other Names
Cuidado Casero Fajardo (Doing Business As)
Provider Enumeration Date
July 12, 2006
Last Update Date
September 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Ave General Valero
Suite 109
Fajardo, PR 00738-4893
Zip
00738-4893
Phone Number
787-868-6361
Fax Number
787-850-5270
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
1110 N Carroll Ave
Southlake, TX 76092-5306
City
Southlake
State
TX
Zip
76092-5306
Phone Number
817-310-1100
Fax Number
817-310-1197

License Information

License Number
11621
License State
PR
Taxonomy
Home Health · 251E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fajardo Home Care Program, INC.?

The NPI number of Fajardo Home Care Program, INC. is 1194750588. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Fajardo Home Care Program, INC.?

Fajardo Home Care Program, INC. is registered under the primary taxonomy Home Health (code 251E00000X), licensed in PR under license number 11621.

Where does Fajardo Home Care Program, INC. practice?

The practice location is 375 Ave General Valero, Suite 109, Fajardo, PR 00738-4893. The office can be reached at 787-868-6361 (phone) or 787-850-5270 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194750588 directly on the NPPES registry website.

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