St Lukes Episcopal Church Home Care Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

22 Issued in PR

Legal business name

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Practice address

917 Ave Tito Castro
Edificio a Piso 4
Ponce, PR 00716-4717

Phone

(787) 843-4185

Fax

(787) 843-5850

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Isuanet Castillo, CPA

Title

Operational Executive Director

Phone

(787) 843-4185

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Saint Lukes Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc

  • Home Health Agency
  • Ponce, PR
  • NPI 1376278697

  Sold to, 2022-04-01

  CMS change of ownership

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1407855257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7064",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327064",
            "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": "917 AVE TITO CASTRO",
            "address_2": "EDIFICIO A PISO 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "OPERATIONAL EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-843-4185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAAA",
            "identifier": "9800093",
            "state": "PR"
        },
        {
            "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lukes Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ponce, 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 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.