Healthcare Provider Details

I. General information

NPI: 1699216432
Provider Name (Legal Business Name): FAMILY TRUSTED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 ROLFE SQ
CRANSTON RI
02910-2809
US

IV. Provider business mailing address

29 ROLFE SQ
CRANSTON RI
02910-2809
US

V. Phone/Fax

Practice location:
  • Phone: 774-955-5591
  • Fax: 401-383-0288
Mailing address:
  • Phone: 774-955-5591
  • Fax: 401-383-0288

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: MRS. VIVIANA M ALBIZU LOAIZA
Title or Position: OWNER
Credential:
Phone: 774-955-5591