Provider Demographics
NPI:1699130401
Name:INTERNATIONAL HOME CARE
Entity type:Organization
Organization Name:INTERNATIONAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTOS SEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-865-8020
Mailing Address - Street 1:5038 CALLE AHLELI
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1272
Mailing Address - Country:US
Mailing Address - Phone:939-865-8020
Mailing Address - Fax:
Practice Address - Street 1:5038 CALLE AHLELI
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1272
Practice Address - Country:US
Practice Address - Phone:939-865-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR251E00000X, 251F00000X, 251G00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care