Provider Demographics
NPI:1700979713
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:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUSSLEIN
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:671-646-4933
Mailing Address - Fax:671-649-8083
Practice Address - Street 1:415 CHALAN SAN ANTONIO
Practice Address - Street 2:BALTEJ PAVILION SUITE 308
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:671-646-4933
Practice Address - Fax:671-649-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251F00000XAgenciesHome Infusion
Not Answered251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
657005Medicare ID - Type Unspecified