Healthcare Provider Details

I. General information

NPI: 1326979204
Provider Name (Legal Business Name): KASA HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URBANIZACION PONCE DE LEON 23 CALLE 19
GUAYNABO PR
00969
US

IV. Provider business mailing address

URBANIZACION PONCE DE LEON 23 CALLE 19
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 939-717-5997
  • Fax: 939-717-5997
Mailing address:
  • Phone: 939-717-5997
  • Fax: 939-717-5997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTOPHER ALEXIS SOTO AQUINO
Title or Position: SOLE PROPIETARIOR
Credential:
Phone: 939-717-5997