Luz de Esperanza Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUZ DE ESPERANZA HOME CARE INC

Practice address

Bda Felix Cordova Ste 1
(Entiadoo Por Correo)
Manati, PR 00674-5400

Phone

(787) 854-7700

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Manuel Santiago

Title

Executive Director

Phone

(787) 854-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Home health agency certification: CCN 407030

Legal name

LUZ DE ESPERANZA HOME CARE INC

Doing business as

LUZ DE ESPERANZA HOME CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 28, 2004

Last certification

Oct 25, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 8, 1998 in PR

Enrollment address

126 Bda Felix Cordova Davila
Ste #1
Manati, PR 00674-5952

Listed as

Luz de Esperanza Home Care IncCCN 407030

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Sep 28, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Luz de Esperanza Home Care 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.

• Luz de Esperanza Home Care Inc

  • Home Health Agency
  • Manati, PR
  • NPI 1205350576
  NPD tax ID

All disclosed owners & managing parties 3

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.

• Jose A. Mattei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Arecibo, PR
  • NPI 1063406205

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1295713808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3446",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006743446",
            "telephone_number": "787-854-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BDA FELIX CORDOVA STE 1",
            "address_2": "(ENTIADOO POR CORREO)",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745400",
            "telephone_number": "787-854-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ DE ESPERANZA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-854-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1063880001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaspar Lugo Perez, M.D.
• Lizbette Lugo Perez, 18074
• Gaspar G. Lugo, DMD
• Luis R Rosa Toledo Medicina de Familia CP
• Luz de Esperanza Home Care Inc
• Maes Development, Inc
• Eneida Lissette Malave, RPH
• Rebeca Maldonado Bidot, MSW
• Linda Almarie Maldonado Pagan, SLP
• Carmen Lidia Maldonado Trinidad, PSY.D., MAED., MAR,

• All providers in Manati, PR
• Home Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.