=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801700331
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMERGENCY DISASTER SOLUTIION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2026
-----------------------------------------------------
Last Update Date | 10/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 283 CALLE CONCEPCION VERA # 283
-----------------------------------------------------
City | MOCA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00676-4822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-408-5817
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 283 CALLE CONCEPCION VERA # 251
-----------------------------------------------------
City | MOCA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00676-4822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-408-5817
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ELDERLY COMUNITY CASE MANAGER
-----------------------------------------------------
Name | KELVIN CABAN
-----------------------------------------------------
Credential | CEO
-----------------------------------------------------
Telephone | 939-372-8692
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333300000X
-----------------------------------------------------
Taxonomy Name | Emergency Response System Companies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------