Healthcare Provider Details
I. General information
NPI: 1992335822
Provider Name (Legal Business Name): WE TAKE CARE NURSING SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2020
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1452 CALLE HUMACAO
SAN JUAN PR
00909-2632
US
IV. Provider business mailing address
1452 CALLE HUMACAO
SAN JUAN PR
00909-2632
US
V. Phone/Fax
- Phone: 939-491-3225
- Fax:
- Phone: 939-491-3225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BELKIS
ENEIDA
CUEVAS SANTANA
Title or Position: VICE PRESIDENT
Credential:
Phone: 787-414-9773