Provider Demographics
NPI:1912152844
Name:CARIDAD HEALTHCARE INC
Entity Type:Organization
Organization Name:CARIDAD HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-519-3227
Mailing Address - Street 1:4902 WEST US HIGHWAY 83
Mailing Address - Street 2:STE 2
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584
Mailing Address - Country:US
Mailing Address - Phone:956-519-3227
Mailing Address - Fax:866-802-0209
Practice Address - Street 1:4902 WEST US HIGHWAY 83
Practice Address - Street 2:STE 2
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584
Practice Address - Country:US
Practice Address - Phone:956-519-3227
Practice Address - Fax:866-802-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX316805602Medicaid
TX316805603Medicaid