Organization Active NPI

Vineland Cuidado Casero Home Care LLC

  • Home Health Aide
  • Vineland, NJ
National Provider Identifier
1376679365
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HPO223201 Issued in NJ
Legal business name
VINELAND CUIDADO CASERO HOME CARE LLC
Practice address
45 W Landis Ave
Vineland, NJ 08360-8122
Phone
(856) 696-9991
Fax
(856) 696-9982
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Carmen Santiago, BSNNPI 1003509373
Title
Ceo
Phone
(817) 310-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X HPO223201 NJ Primary

Addresses

Primary practice location

45 W Landis Ave
Vineland, NJ 08360-8122

Mailing address

1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100

Other identifiers 1

IdentifierTypeStateIssuer
0039527MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1376679365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925306",
            "telephone_number": "817-310-1100",
            "fax_number": "817-310-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608122",
            "telephone_number": "856-696-9991",
            "fax_number": "856-696-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELAND CUIDADO CASERO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "HPO223201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039527",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.