Med Health Hospice Corp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

001367 Issued in PR

Legal business name

MED HEALTH HOSPICE CORP

Practice address

Bo Guanajibo Sector Parabueyon
Carr 102 KM 18.6
Cabo Rojo, PR 00623

Phone

(787) 254-4307

Fax

(787) 254-4307

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis A MontalvoNPI 1710015698

Title

Owner

Phone

(787) 254-4307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Hospice certification: CCN 401567

Legal name

MED HEALTH HOSPICE CORP

Doing business as

LAM MEDICAL SERVICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 14, 2008

Last certification

Mar 25, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 9, 2003 in PR

Enrollment address

Carr 102 KM 18.6
Bo Parabuellon
Cabo Rojo, PR 00623-3138

Listed as

Med Health Hospice CorpCCN 401567 · All quality measures

Ownership

For-Profit

Certified

Aug 14, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Luis a Montalvo Lopez

  dba LAM Medical Service

  • Durable Medical Equipment & Medical Supplies
  • Aguada, PR
  • NPI 1538340096

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• William Hernandez Vera, M.D.

  • General Practice Physician
  • San Juan, PR
  • NPI 1417044496

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Montalvo

  • Durable Medical Equipment & Medical Supplies
  • Aguada, PR
  • NPI 1710015698
  NPD Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346447265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CARR 102",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233138",
            "telephone_number": "787-254-4307",
            "fax_number": "787-254-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO GUANAJIBO SECTOR PARABUEYON",
            "address_2": "CARR 102 KM 18.6",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-254-4307",
            "fax_number": "787-254-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED HEALTH HOSPICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-254-4307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "001367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HOSPICE PROVIDER NUMBER",
            "identifier": "401567",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Martinez, R.N.
• Yolanda Martinez, RPH
• Ian Joseph Maya, MD
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• MCR Dental Services LLC
• Med Help Corp.
• Ramon Medina
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• Loriana Margarita Melendez Roman
• Jose Raul Melendez, M.D.

• Community Based Hospice Care Agency in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Community Based Hospice Care Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.