Healthcare Provider Details

I. General information

NPI: 1083311229
Provider Name (Legal Business Name): HOME HEALTH NURSING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SANTA JUANITA WK 14 CALLE MARIA L GOMEZ SANTA JUANITA
BAYAMON PR
00956
US

IV. Provider business mailing address

SANTA JUANITA WK 14 CALLE MARIA L GOMEZ SANTA JUANITA
BAYAMON PR
00956
US

V. Phone/Fax

Practice location:
  • Phone: 787-344-2145
  • Fax:
Mailing address:
  • Phone: 787-344-2145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YAHAIRA SOSTRE
Title or Position: DIRECTOR
Credential:
Phone: 787-344-2145