Healthcare Provider Details

I. General information

NPI: 1700979713
Provider Name (Legal Business Name): TAKECARE INSURANCE COMPANY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 S MARINE CORPS DR STE 200
TAMUNING GU
96913-3927
US

IV. Provider business mailing address

PO BOX 6578
TAMUNING GU
96931-6578
US

V. Phone/Fax

Practice location:
  • Phone: 671-646-5825
  • Fax: 671-649-8083
Mailing address:
  • Phone: 671-646-5825
  • Fax: 671-649-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LUCIO VILLAMAYOR ALMIRA
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 671-646-6956