Organization Active NPI

Cuidado Casero Home Care of Virginia Inc

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1841277563
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05-301 Issued in VA
Legal business name
CUIDADO CASERO HOME CARE OF VIRGINIA INC
Practice address
4547 Empire CT
Fredericksburg, VA 22408-1949
Phone
(540) 898-2999
Fax
(540) 898-2929
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Jesse Lopez
Title
Vice President of Finance
Phone
(817) 310-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05-301 VA Primary

Addresses

Primary practice location

4547 Empire CT
Fredericksburg, VA 22408-1949

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
010130875MedicaidVA

National Provider Directory

National Provider Directory

Locations

4547 Empire Ct
Fredericksburg, VA 22408
Phone (540) 898-2999

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1841277563",
    "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": "4547 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-898-2999",
            "fax_number": "540-898-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUIDADO CASERO HOME CARE OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "817-310-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "05-301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010130875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.