Organization Active NPI

St Lukes Episcopal Church Home Care Program

  • Home Health Agency
  • Mayaguez, PR
National Provider Identifier
1104810217
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
43 Issued in PR
Legal business name
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Doing business as
St. Lukes Home Health Agency Mayaguez
Practice address
Calle Mendez Vigo #201 Oeste
Mayaguez, PR 00680
Phone
(787) 843-4185
Fax
(787) 843-5850
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Ms. Isuanet Castillo, CPA
Title
Operational Executive Director
Phone
(787) 843-4185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 43 PR Primary

Addresses

Primary practice location

Calle Mendez Vigo #201 Oeste
Mayaguez, PR 00680

Mailing address

Calle Mendez Vigo #201 Oeste
Mayaguez, PR 00680
Phone (787) 843-4185

Other identifiers 4

IdentifierTypeStateIssuer
7330102OtherPRHUMANA
071002OtherPRCRUZ AZUL
9800093OtherPRACAA
1-9485STOtherPRTRIPLE S

Other names 1

  • St. Lukes Home Health Agency Mayaguez Doing business as

National Provider Directory

National Provider Directory

Locations

20 Calle Pedro Rosario
Aibonito, PR 00705
Phone (787) 735-2456

R10 Calle Esmeralda
Cayey, PR 00736
Phone (787) 263-8205

R10 Calle Esmeralda
#2079
Cayey, PR 00736
Phone (787) 735-4157

100 Calle a
Coamo, PR 00769
Phone (787) 825-1354

42 Calle Tomas Carrion Maduro
Juana Diaz, PR 00795
Phone (787) 260-3424

201 Calle Mendez Vigo W
Mayaguez, PR 00682
Phone (787) 833-8181

198 Calle Mendez Vigo W
Mayaguez, PR 00682
Phone (787) 833-8181

291 Calle Monterrey
Ponce, PR 00716
Phone (787) 651-7003

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1104810217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO #201 OESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "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": "CALLE MENDEZ VIGO #201 OESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "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": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "OPERATIONAL EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-843-4185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "071002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9800093",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1-9485ST",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Lukes Home Health Agency Mayaguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.