Provider Demographics
NPI:1427472588
Name:HEALTHY FARMERS, LLC
Entity type:Organization
Organization Name:HEALTHY FARMERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCEL
Authorized Official - Middle Name:ROMANO
Authorized Official - Last Name:CARIASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1670-483-6140
Mailing Address - Street 1:PMB 448 BOX 10000
Mailing Address - Street 2:GUALO RAI
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:167-048-3614
Mailing Address - Fax:
Practice Address - Street 1:GUALO RAI
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-8900
Practice Address - Country:US
Practice Address - Phone:167-048-3614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY FARMERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-10
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health