Healthcare Provider Details

I. General information

NPI: 1669532271
Provider Name (Legal Business Name): CUIDADO CASERO HOME CARE OF VIRGINIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4547 EMPIRE CT
FREDERICKSBURG VA
22408-1949
US

IV. Provider business mailing address

1110 N CARROLL AVE
SOUTHLAKE TX
76092-5306
US

V. Phone/Fax

Practice location:
  • Phone: 540-898-2999
  • Fax: 540-898-2929
Mailing address:
  • Phone: 817-310-1100
  • Fax: 817-310-1197

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: CARMEN SANTIAGO
Title or Position: CEO
Credential:
Phone: 817-310-1100