Ecuafam Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ECUAFAM INC.

Doing business as

Ecuafam Care Inc.

Practice address

1569 Baltimore Ave
Deltona, FL 32725-5633

Phone

(386) 215-7573

NPI assigned

Mar 27, 2019

Organization subpart

Yes

Parent organization

ECUAFAM INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Cisneros

Title

President

Phone

(386) 215-7573

Specialties & licenses 1

Addresses

Other names 1

• Ecuafam Care Inc. Doing business as

Part of

Ecuafam Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1194286641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BALTIMORE AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255633",
            "telephone_number": "386-215-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 BALTIMORE AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255633",
            "telephone_number": "386-215-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUAFAM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECUAFAM INC.",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-215-7573"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ecuafam Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Deltona, FL
• Providers in Deltona, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.