| Organization Name: | TAKECARE INSURANCE COMPANY INC |
| NPI Number: | 1134212152 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH E HUSSLEIN (PRESIDENT CEO) |
| Mailing Address: | 548 South Marine Corps Drive Tamuning |
| State: | GU US |
| Postal Code: | 96913 |
| Phone Number: | 6716465825 |
| Fax Number: | 6716498083 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |