Active NPI
Hospicio Luz de Esperanza Inc.
- Community Based Hospice Care Agency
- Manati, PR
National Provider Identifier
1013459379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICIO LUZ DE ESPERANZA INC.
- Practice address
- 126 Cordova Davila
Carr 6670 K07
Manati, PR 00674 - Phone
- (787) 854-7700
- Fax
- (787) 854-7027
- NPI assigned
- Nov 17, 2016
- Last updated
- Aug 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Manuel Santiago
- Title
- Ceo
- Phone
- (787) 854-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | PR | Primary |
Addresses
Primary practice location
126 Cordova Davila
Carr 6670 K07
Manati, PR 00674
Mailing address
P O Box 30500
PMB 246
Manati, PR 00674
Phone (787) 584-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170605001782 | PR | Part A Provider - Hospice | 6800163379 | Practice locations: Manati, PR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013459379. Details of each certification follow.
Hospice certification: CCN 401574
- Legal name
- HOSPICIO LUZ DE ESPERANZA INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 15, 2017
- Last certification
- Feb 13, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 28, 2016 in PR
- Enrollment address
- 126 Bda Felix Cordova Davila
Ste 1
Manati, PR 00674-5952
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospicio Luz de Esperanza Inc
- Ownership
- For-Profit
- Certified
- Sep 15, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Manuel Santiago | 5% Or Greater Direct Ownership Interest | Mar 28, 2016 | 100% |
| Corporate Officer | Mar 28, 2016 | 100% | |
| Corporate Director | Mar 28, 2016 | ||
| Manuel Santiago Carrion | Corporate Director | May 11, 2016 | |
| W-2 Managing Employee | May 11, 2016 | ||
| Emanuel Santiago Lopez | W-2 Managing Employee | Jan 1, 2017 | 100% |
| Hector D Romero Tirado | W-2 Managing Employee | Oct 18, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Manati, PR
- NPI 1528691060
W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 22
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1013459379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 30500",
"address_2": "PMB 246",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-584-7700",
"fax_number": "787-854-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 CORDOVA DAVILA",
"address_2": "CARR 6670 K07",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-854-7700",
"fax_number": "787-854-7027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICIO LUZ DE ESPERANZA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-17",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "787-854-7700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Jorge Hernandez
- Jose A Hernandez, BOCOP C PED RPT
- Jose Enrique Hernandez, MD
- Samuel Hernandez, RESP. THERAPIST
- Hospicio En El Hogar Fe Y Esperanza de Puerto Rico, Inc.
- Hospitalist Medical Services Inc
- Hospitalist Medical Services, PSC
- Hospitalist Medical Services, PSC
- Hospitalist Medical Services, PSC
- Hospitalist Medical Services, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.