Provider Demographics
NPI:1295038107
Name:AMERICARE HOMEHEALTH SERVICES
Entity Type:Organization
Organization Name:AMERICARE HOMEHEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-310-1100
Mailing Address - Street 1:580 AVE DE DIEGO
Mailing Address - Street 2:PUERTO NUEVO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-620-5577
Mailing Address - Fax:787-620-5582
Practice Address - Street 1:AVE DE DIEGO 580 2DO PISO SUITE B
Practice Address - Street 2:URB. PUERTO NUEVO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-3723
Practice Address - Country:US
Practice Address - Phone:787-885-2777
Practice Address - Fax:787-885-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10-124251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10-124OtherCERTIFICATE OF NEED
PR407019Medicare Oscar/Certification