Estancia Homecare, Inc.

Key facts

NPI

1295837524

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

08B3316 (PR)

Legal business name

ESTANCIA HOMECARE, INC.

Practice address

Via Mirta 3KS5
Villa Fontana
Carolina, PR 00983-4639

Phone

(787) 762-0889

NPI assigned

Sep 5, 2006

Organization subpart

No

Authorized official

Name

Mr. Milton Cruz

Title

President

Phone

(787) 706-5255

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2007.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1295837524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA MIRTA 3KS5",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009834639",
            "telephone_number": "787-762-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA MIRTA 3KS5",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009834639",
            "telephone_number": "787-762-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTANCIA HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-706-5255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "08B3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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