# CUIDADO CASERO HOME CARE OF VIRGINIA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CC Home Care of Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669532271
- **Authorized official:** CARMEN SANTIAGO (CEO)
- **Authorized official phone:** (817) 310-1100

## Contact information

- **Practice address:** 4547 EMPIRE CT, FREDERICKSBURG, VA 22408-1949
- **Practice address phone:** (540) 898-2999
- **Practice address fax:** (540) 898-2929
- **Mailing address:** 1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
- **Mailing address phone:** (817) 310-1100
- **Mailing address fax:** (817) 310-1197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 04/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0101308754 | — | VA |