Healthcare Provider Details

I. General information

NPI: 1295038107
Provider Name (Legal Business Name): AMERICARE HOMEHEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 02/14/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE DE DIEGO 580 2DO PISO SUITE B URB. PUERTO NUEVO
SAN JUAN PR
00920-3723
US

IV. Provider business mailing address

580 AVE DE DIEGO PUERTO NUEVO
SAN JUAN PR
00920
US

V. Phone/Fax

Practice location:
  • Phone: 787-885-2777
  • Fax: 787-885-2799
Mailing address:
  • Phone: 787-620-5577
  • Fax: 787-620-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number10-124
License Number StatePR

VIII. Authorized Official

Name: MR. CARMEN SANTIAGO
Title or Position: CEO/OWNER
Credential:
Phone: 817-310-1100