Provider Demographics
NPI:1932667086
Name:CARE ALTERNATIVES OF PUERTO RICO LLC
Entity Type:Organization
Organization Name:CARE ALTERNATIVES OF PUERTO RICO LLC
Other - Org Name:GRACE HOSPICE OF PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFODILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-931-9068
Mailing Address - Street 1:65 JACKSON DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3516
Mailing Address - Country:US
Mailing Address - Phone:908-931-9068
Mailing Address - Fax:732-384-3058
Practice Address - Street 1:500 AVE MUNOZ RIVERA CONDOMINIO EI CENTRO
Practice Address - Street 2:CONDOMINIO EI CENTRO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:908-931-9068
Practice Address - Fax:732-384-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based