Organization Active NPI

Programa de Servicios de Salud En El Hogar Geminis Inc

  • Community Based Hospice Care Agency
  • Corozal, PR
National Provider Identifier
1235217852
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
35 Issued in PR
Legal business name
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR GEMINIS INC
Practice address
Carr.159 KM 13.4 (Bo Pueblo)
Corozal, PR 00783-1144
Phone
(787) 859-5755
Fax
(787) 859-4307
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Mrs. Emerita Vazquez Lopez, BA
Title
Presidenta
Phone
(787) 859-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 35 PR Primary

Addresses

Primary practice location

Carr.159 KM 13.4 (Bo Pueblo)
Corozal, PR 00783-1144

Mailing address

PO Box 1144
Corozal, PR 00783-1144
Phone (787) 859-5755

Other names 1

  • Servicios de salud en el Hogar Geminis y Hospicio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000511 PR Part A Provider - Hospice 1052318409 Practice locations: Corozal, PR

Hospice certification: CCN 401563

Legal name
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR GEMINIS INC
Doing business as
SERVICIOS DE SALUD EN EL HOGAR GEMINIS Y HOSPICIO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 10, 2001
Last certification
Oct 14, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 13, 1998 in PR
Enrollment address
Carr 159
# KM13.4
Corozal, PR 00783-2903

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Programa de Salud En El Hogar Y Hospicio GeminisCCN 401563
Ownership
For-Profit
Certified
Oct 10, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Programa de Servicios de Salud En El Hogar Geminis Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

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.

NameRoleSinceShare
Emerita Vazquez Lopez Individual 5% Or Greater Direct Ownership Interest Feb 20, 2013 100%
Corporate OfficerPresident Feb 20, 2013 100%
Corporate DirectorPresident Feb 20, 2013 100%
W-2 Managing EmployeePresident Feb 20, 2013 100%
Hector Luis Colon Individual Corporate DirectorAssistant Administrator Jul 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1235217852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007831144",
            "telephone_number": "787-859-5755",
            "fax_number": "787-859-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.159 KM 13.4 (BO PUEBLO)",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007831144",
            "telephone_number": "787-859-5755",
            "fax_number": "787-859-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR GEMINIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ LOPEZ",
        "authorized_official_first_name": "EMERITA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-859-5755",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios de salud en el Hogar Geminis y Hospicio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

Verify at the official NPI Registry.