Healthcare Provider Details
I. General information
NPI: 1124574538
Provider Name (Legal Business Name): CONTINUUM CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2016
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4031 ESTATE LA GRANDE PRINCESSE STE 36
CHRISTIANSTED VI
00820-5213
US
IV. Provider business mailing address
4031 ESTATE LA GRANDE PRINCESSE, SUITE 36 FIVE CORNERS PLAZA
CHRISTIANSTED VI
00820-0000
US
V. Phone/Fax
- Phone: 340-718-5683
- Fax: 340-718-7632
- Phone: 340-718-5683
- Fax: 340-718-7632
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 2-35455-1L |
| License Number State | VI |
VIII. Authorized Official
Name:
MARY
T
SANDERS
Title or Position: MANAGING DIRECTOR
Credential: RN MN CNS
Phone: 340-718-5683