La Providencia Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

18 Issued in PR

Legal business name

LA PROVIDENCIA HOME HEALTH CARE INC.

Doing business as

Arecibo Medical Home Care

Practice address

57 Calle Morell Campos
Arecibo, PR 00612-4317

Phone

(787) 879-2955

Fax

(787) 878-7672

NPI assigned

Aug 18, 2006

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Eyleen I. Rodriguez, RPT

Title

Executive Director

Phone

(787) 879-2955

Specialties & licenses 1

Addresses

Other names 1

• Arecibo Medical Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285748491. Details of each certification follow.

• CCN 407027 Home health agency · Active · Details

Home health agency certification: CCN 407027

Legal name

LA PROVIDENCIA HOME HEALTH CARE INC.

Doing business as

ARECIBO MEDICAL HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 9, 1996

Last certification

Apr 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 19, 1995 in PR

Enrollment address

Morel Campo 57
Urb Garcia
Arecibo, PR 00612-4317

Listed as

Arecibo Medical Home CareCCN 407027 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 9, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 4

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

• Luis Saul Cruz-Garcia, MD

  • General Practice Physician
  • Lajas, PR
  • NPI 1376528125

  Home health agency

  Care Compare affiliation
• Aida Eugenia Medina, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1407691223

  Home health agency

  Care Compare affiliation
• Carlos Perez Cardona, M.D.

  • Specialist
  • Mayaguez, PR
  • NPI 1548277361

  Home health agency

  Care Compare affiliation
• Dante Amadis Rodriguez

  • Internal Medicine Physician
  • Arecibo, PR
  • NPI 1467465567

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1285748491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141597",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141597",
            "telephone_number": "787-879-2955",
            "fax_number": "787-878-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE MORELL CAMPOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124317",
            "telephone_number": "787-879-2955",
            "fax_number": "787-878-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PROVIDENCIA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EYLEEN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-879-2955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arecibo Medical Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Arecibo, PR
• Providers in Arecibo, 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 25, 2023; 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.