NPIMap

Organization Active NPI

Metro Pavia at Home, LLC

  • Home Health Agency
  • Las Piedras, PR
National Provider Identifier
1013321900
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
METRO PAVIA AT HOME, LLC
Practice address
Plaza Las Piedras
Carr PR 183 KM 20.60 Interseccion PR 917 Barrio Montone
Las Piedras, PR 00771-3206
Phone
(787) 852-3785
Fax
(787) 705-6794
NPI assigned
Jun 18, 2014
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisandra Velez
Title
Executive Director
Phone
(787) 705-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

Plaza Las Piedras
Carr PR 183 KM 20.60 Interseccion PR 917 Barrio Montone
Las Piedras, PR 00771-3206

Mailing address

P.O.
Box 11938
San Juan, PR 00922-1938
Phone (787) 705-6982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820000777 PR Part A Provider - Home Health Agency 1557589363 Practice locations: Las Piedras, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013321900. Details of each certification follow.

Home health agency certification: CCN 407017

Legal name
METRO PAVIA AT HOME, LLC
Doing business as
METRO PAVIA @ HOME - HUMACAO
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 1980
Last certification
Nov 28, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
Plaza Las Piedras Carr. PR.183 KM20.60
Interseccion PR. 917 Bo Montones
Las Piedras, PR 00771

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Metro Pavia @ Home HumacaoCCN 407017 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Aug 13, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

National Provider Directory

National Provider Directory
Tax ID family
Metro Pavia Home11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

66 Calle Rodulfo Gonzalez
Adjuntas, PR 00601
Phone (787) 829-7710

153 Ave Jose de Diego
Ste 205
Arecibo, PR 00612
Phone (787) 817-0498

60 Calle Bolivia
#3
San Juan, PR 00917
Phone (787) 705-6982

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria I Alvarez Betancourt Individual Corporate DirectorExecutive Director Mar 30, 2026 25%
W-2 Managing EmployeeExecutive Director Mar 30, 2026 25%
Artau Holdings III LLC Organization, Guaynabo, PR Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Carmen Feliciano Vargas Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 38%
Eduardo J Artau Gomez Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 38%
Corporate OfficerPresident Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Karen Z Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 8%
Ramon Luis Barreiro Lebron Individual Corporate DirectorFinance Director Sep 2, 2025 25%
W-2 Managing EmployeeFinance Director Sep 2, 2025 25%
Eduardo Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 8%
Yasmary Valentin Lopez Individual W-2 Managing EmployeeAdministrator Apr 1, 2023
Operational/Managerial ControlAdministrator Apr 1, 2023
Francisco Artau Feliciano Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 8%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1013321900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.",
            "address_2": "BOX 11938",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221938",
            "telephone_number": "787-705-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA LAS PIEDRAS",
            "address_2": "CARR PR 183 KM 20.60 INTERSECCION PR 917 BARRIO MONTONE",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713206",
            "telephone_number": "787-852-3785",
            "fax_number": "787-705-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAVIA AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-705-6982",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.