Fajardo Home Care Program, Inc. in Southlake - Home Health
Fajardo Home Care Program, Inc. - NPI 1194750588
Fajardo Home Care Program, Inc. is a Home Health in Southlake, Texas. Fajardo Home Care Program, Inc. practices all healthcare services and medical treatments related to Home Health. The NPI Number for Fajardo Home Care Program, Inc. is 1194750588. The last update date is 2009-09-11.
Fajardo Home Care Program, Inc.'s current location address is 1110 N Carroll Ave, Southlake, Texas. You can contact this provider via phone number 8173101100 and fax number 8173101197. The mailing address for Fajardo Home Care Program, Inc. is 1110 N Carroll Ave, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fajardo Home Care Program, Inc. |
|---|---|
| Address | 1110 N Carroll Ave, Southlake, Texas |
| Phone Number | 8173101100 |
| Fax Number | 8173101197 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Santiago Carmen |
| Credentials | DRPH |
| Telephone Number | 8173101100 |
NPI Number Detail
| NPI Number | 1194750588 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2009-09-11 |
Provider Mailing Address Detail
| Address | 1110 N Carroll Ave |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760925306 |
| Phone Number | 8173101100 |
| Fax Number | 8173101197 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 11621 |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Post Comment/ Review Below
What is the unique identifier code issued to Fajardo Home Care Program, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Fajardo Home Care Program, Inc. has been assigned the NPI (National Provider Identifier) 1194750588. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Fajardo Home Care Program, Inc.'s facilities are situated?
The facilities of Fajardo Home Care Program, Inc. are physically located at the following address: 1110 N Carroll Ave, Southlake, TX, 760925306.
What is Fajardo Home Care Program, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fajardo Home Care Program, Inc.'s specialized field of practice is Home Health, and the corresponding taxonomy code that categorizes this area of specialization is 251E00000X.
On what date did Fajardo Home Care Program, Inc. receive its 1194750588 assignment from the Centers for Medicare & Medicaid Services?
The Fajardo Home Care Program, Inc. was assigned its 1194750588 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Fajardo Home Care Program, Inc.'s details last updated?
The information pertaining to the Fajardo Home Care Program, Inc., including its address, specialty, and other details, was most recently updated on 2009-09-11.