Special Care Pharmacy Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECIAL CARE PHARMACY SERVICES, LLC

Practice address

1109 Brumbaugh, Arzuaga 53,55
San Juan, PR 00925

Phone

(787) 781-4585

NPI assigned

Oct 13, 2022

Organization subpart

Yes

Parent organization

SPECIAL CARE PHARMACY SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jose Anibal Rojas, PHARMD

Title

President & Ceo

Phone

(787) 781-4585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083330831. Details of each certification follow.

• CCN 407331 Home health agency · Active · Details

Home health agency certification: CCN 407331

Legal name

SPECIAL CARE PHARMACY SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 4, 2022

Last certification

Aug 4, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 17, 1997 in PR

Enrollment address

55 Calle Arzuaga
San Juan, PR 00925-3702
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

• Special Care Pharmacy Services, LLC

  • Pharmacy
  • San Juan, PR
  • NPI 1205819729

  8224159967

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Special Care Pharmacy Services, LLC

  • Pharmacy
  • San Juan, PR
  • NPI 1205819729

  O20210612000009

  Same enrollment

Listed as

Special Care Pharmacy Services, LLCCCN 407331 · All quality measures

Ownership

Proprietary

Certified

Aug 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Special Care Pharmacy Services LLC2 organizations share this tax ID, including this one

Part of

Special Care Pharmacy Services LLC

Other organizations with this tax ID 1

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

• Special Care Pharmacy Services, LLC

  • Pharmacy
  • San Juan, PR
  • NPI 1992570105
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Boris M Guzman-Hernandez, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1003987793

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1083330831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE ARZUAGA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253702",
            "telephone_number": "787-781-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BRUMBAUGH, ARZUAGA 53,55",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-781-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Calle Arzuaga",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009253702",
            "country_code": "US",
            "telephone_number": "787-781-4585 x2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIAL CARE PHARMACY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL CARE PHARMACY SERVICES, LLC",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "787-781-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in San Juan, PR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.

Verify at the official NPI Registry.