Provider Demographics
NPI:1497859565
Name:TAKECARE INSURANCE COMPANY INC
Entity Type:Organization
Organization Name:TAKECARE INSURANCE COMPANY INC
Other - Org Name:FHP HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CSG ADMINISTRATOR/CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIO ALBERTO
Authorized Official - Middle Name:VILLAMAYOR
Authorized Official - Last Name:ALMIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-646-6956
Mailing Address - Street 1:PO BOX 6578
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931
Mailing Address - Country:US
Mailing Address - Phone:671-646-5825
Mailing Address - Fax:671-649-8083
Practice Address - Street 1:219 S MARINE CORPS DR STE 200
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3927
Practice Address - Country:US
Practice Address - Phone:671-646-5825
Practice Address - Fax:671-649-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based