NPIMap

Organization Active NPI

Emmanuel Hospice Care, Incorporado

Doing business as Hospicio Emmanuel Inc

  • Community Based Hospice Care Agency
  • Lares, PR
National Provider Identifier
1386765444
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EMMANUEL HOSPICE CARE, INCORPORADO
Doing business as
Hospicio Emmanuel Inc
Practice address
Carr 129 Interseccion 415
KM0 HM0
Lares, PR 00669
Phone
(787) 897-7040
Fax
(787) 897-0015
NPI assigned
Apr 3, 2007
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Mr. Moises Rivera
Title
Director
Phone
(787) 897-7040

Specialties & licenses 1

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

Addresses

Primary practice location

Carr 129 Interseccion 415
KM0 HM0
Lares, PR 00669

Mailing address

PO Box 1336
Lares, PR 00669-1336
Phone (787) 897-7040

Other names 1

  • Hospicio Emmanuel Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000248 PR Part A Provider - Hospice 1850538414 Practice locations: Lares, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386765444. Details of each certification follow.

Hospice certification: CCN 401516

Legal name
EMMANUEL HOSPICE CARE, INCORPORADO
Doing business as
HOSPICIO EMMAUEL INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 10, 1992
Last certification
Nov 17, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1992 in PR
Enrollment address
Carr 129, Int 415
Bo. Buenos Aires
Lares, PR 00669-1336

Care Compare: Hospice

Medicare Care Compare
Listed as
Emmanuel Hospice Care IncCCN 401516 · All quality measures
Ownership
For-Profit
Certified
Jul 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Moises Rivera Rivera Individual Corporate DirectorPresident Executive Director Mar 23, 1992
W-2 Managing EmployeePresident Executive Director Mar 23, 1992
Fernando L Barlucea Santiago Individual Corporate DirectorVice President Mar 23, 1992
W-2 Managing EmployeeVice President Mar 23, 1992
Wanda E Correa Camacho Individual Corporate DirectorBoard Member Jan 19, 2012
W-2 Managing EmployeeBoard Member Jan 19, 2012
Arcadia Rivera Individual Corporate DirectorBoard Member Jan 19, 2012
Ada Ramirez Cardona Individual Corporate DirectorBoard Member Treasurer Jan 29, 2016
W-2 Managing EmployeeBoard Member Treasurer Jan 29, 2016

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1386765444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006691336",
            "telephone_number": "787-897-7040",
            "fax_number": "787-897-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 INTERSECCION 415",
            "address_2": "KM0 HM0",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-7040",
            "fax_number": "787-897-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL HOSPICE CARE, INCORPORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-897-7040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospicio Emmanuel Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.