Provider Demographics
NPI:1023780038
Name:HISPANIC SENIOR CARE, LLC.
Entity type:Organization
Organization Name:HISPANIC SENIOR CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:ILIANA
Authorized Official - Last Name:CARTAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-710-4060
Mailing Address - Street 1:6449 WOODBEACH DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-4323
Mailing Address - Country:US
Mailing Address - Phone:817-710-4060
Mailing Address - Fax:
Practice Address - Street 1:6449 WOODBEACH DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4323
Practice Address - Country:US
Practice Address - Phone:817-710-4060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty