Provider Demographics
NPI:1548501752
Name:BAUDILIO & CARMELA HOME CARE INC.
Entity type:Organization
Organization Name:BAUDILIO & CARMELA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF THE HOME
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAZQUEZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-847-1480
Mailing Address - Street 1:PO BOX 1129
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-1129
Mailing Address - Country:US
Mailing Address - Phone:787-847-1480
Mailing Address - Fax:787-847-1480
Practice Address - Street 1:BO. CAMARONES SECTOR HATO PUERCO CARR 150 KM.3.5
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-847-1480
Practice Address - Fax:787-847-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home