Healthcare Provider Details

I. General information

NPI: 1124557111
Provider Name (Legal Business Name): CARIBBEAN HOME HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 VILLAGE MALL SUITE 14
KINGSHILL VI
00850
US

IV. Provider business mailing address

RR 2 BOX 10550
KINGSHILL VI
00850-9604
US

V. Phone/Fax

Practice location:
  • Phone: 340-692-2699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CORLEEN PETERSEN
Title or Position: DIRECTOR,CEO
Credential:
Phone: 340-692-2699