St Lukes Episcopal Church Home Care Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

39 Issued in PR

Legal business name

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Doing business as

St. Lukes Home Health Agency San German

Practice address

Calle Mendez Vigo #201 Oeste
Mayaguez, PR 00680

Phone

(787) 843-4185

Fax

(787) 843-5855

NPI assigned

Sep 6, 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 Facturacion & Cobro

Phone

(787) 843-5855

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

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

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1265426258",
    "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": "787-843-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "GERENTE FACTURACION & COBRO",
        "authorized_official_telephone_number": "787-843-5855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "071002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1-9485ST",
            "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 German",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Health Corp
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• Special Needs Services
• Jaime Speulveda, MD
• St Lukes Episcopal Church Home Care Program
• Trina Pearl Steljes, MD
• Yvonne Marie Strubbe Ramirez
• Ana M Suarez Lozada, M.D.
• Francisco R Suarez Lozada, M.D.
• Dennis Suarez, MD

• Home Health Agency in Mayaguez, PR
• Providers in Mayaguez, 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.