St Lukes Episcopal Church Home Care Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

42 Issued in PR

Legal business name

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Practice address

Carr #2 KM 124.9
Bo Cimital Bajo
Aguadilla, PR 00605

Phone

(787) 843-4185

Fax

(787) 843-5850

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mayra Hernandez

Title

Gerente Fachturancion Y Cobro

Phone

(787) 843-5855

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• St. Lukes Home Health Agency San Sebastian Doing business as

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1013901123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APARTADO 1809 VICTORIA STATION",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 124.9",
            "address_2": "BO CIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "GERENTE FACHTURANCION Y COBRO",
        "authorized_official_telephone_number": "787-843-5855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1-9485ST",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "071002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9800093",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Lukes Home Health Agency San Sebastian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Soto, RPT
• Zulma Maria Soto, DOCTOR
• Melba Sotomayor, M.D.
• Thaisai Iliana Sotomayor, MS,PHL
• Lauren Michelle Spencer, CORPSMAN
• St Lukes Episcopal Church Home Care Program
• State Insurance Fund
• Benjamin Stixrud, HS, AMS, NREMT
• Hector Luis Suarez Medina
• Damaris Suarez-Gonzalez

• Home Health Agency in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Home Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.