NPIMap

Organization Active NPI

Mennonite General Hospital, Inc.

Doing business as Hospicio Menonita

  • Community Based Hospice Care Agency
  • Caguas, PR
National Provider Identifier
1427036342
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
LIC.#5CNC#15-102 Issued in PR
Legal business name
MENNONITE GENERAL HOSPITAL, INC.
Doing business as
Hospicio Menonita
Practice address
Carr #1 KM 34 9 Bo Bairoa
Caguas, PR 00725
Phone
(787) 258-1628
Fax
(787) 746-1066
NPI assigned
Jan 3, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Mrs. Ana B. Torres
Title
Administrator
Phone
(787) 743-1121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 04118 PR
Community Based Hospice Care Agency 251G00000X LIC.#5CNC#15-102 PR Primary

Addresses

Primary practice location

Carr #1 KM 34 9 Bo Bairoa
Caguas, PR 00725

Mailing address

PO Box 5742
Caguas, PR 00726
Phone (787) 258-1628

Other names 1

  • Hospicio Menonita Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208001143 PR Part A Provider - Hospice 6709843964 1 other NPI on this enrollment
Practice locations: Caguas, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427036342. Details of each certification follow.

Hospice certification: CCN 401510

Legal name
MENNONITE GENERAL HOSPITAL INC
Doing business as
MENNONITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 1, 1992
Last certification
Sep 1, 2015
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1976 in PR
Enrollment address
Bo Bairoa Carretera 1 KM 34.9
Sector Villa Blanca
Caguas, PR 00726-1379

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospicio MenonitaCCN 401510 · All quality measures
Ownership
For-Profit
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual Menonita Cima41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Maria de Los a Bonilla Individual Corporate DirectorDirector Hospice Services Jan 1, 2024 100%
W-2 Managing EmployeeDirector Hospice Services Jan 1, 2024 100%
Lymari Colon Colon Individual Corporate DirectorCfo Jan 1, 2024 100%
W-2 Managing EmployeeCfo Jan 1, 2024 100%
Jose Veguilla Cartagena Individual Corporate DirectorBoard Member for a Nonprofit Org Mar 10, 1994
Lissette Vasquez Rivera Individual Corporate DirectorDirector of Billing and Collection Jan 1, 2024 10%
W-2 Managing EmployeeDirecror of Billing and Collection Jan 1, 2024
Jose Solivan Rivera Individual Corporate DirectorAsocciated Ceo Jan 1, 2024 100%
W-2 Managing EmployeeAsocciated Ceo Jan 1, 2024 100%
Maria a Echevarria Cardona Individual Corporate DirectorBoard Member for a Nonprofit Org May 5, 2010
Hermann Bauer Miesses Individual Corporate DirectorBoard Member for a Nonprofit Org Dec 13, 2005
Daniel Olivera Individual Corporate DirectorBoard Member for a Nonprofit Org May 20, 2005
Jose Rivera Individual Corporate DirectorBoard Member for a Nonprofit Org Dec 13, 2005
Virginia Rivera Individual Corporate DirectorBoard Member for a Nonprofit Org Apr 29, 2009
Maria Irizarry Individual Corporate DirectorBoard Member for a Non Profit Or May 5, 2010
Ricardo Hernandez Rivera Individual Corporate DirectorCeo Jan 1, 2024 100%
W-2 Managing EmployeeCeo Jan 1, 2024 100%
Victor Ortiz Individual Corporate DirectorBoard Member for a Nonprofit Org Mar 10, 1966
Mariangela Alvarado Soto Individual Corporate DirectorAdministrator Jan 1, 2024 100%
W-2 Managing EmployeeAd; Jan 1, 2024
Larry Bonilla Sauder Individual Corporate DirectorBoard Member for a Nonprofit Org Nov 11, 2009
Juan Colon Individual Corporate DirectorBoard Member for a Nonprofit Org Apr 29, 2009
Francisco D Rodriguez Maldonado Individual Corporate DirectorBoard Member for a Nonprofit Org Aug 1, 2013

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Menonita PoncePonce, PR, CCN 400113 Hospital Operational/Managerial Control Sep 29, 2022
Mennonite HospiceAibonito, PR, CCN 401534 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 1, 1993
Oct 12, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1427036342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5742",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-258-1628",
            "fax_number": "787-746-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #1 KM 34 9 BO BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-258-1628",
            "fax_number": "787-746-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-1121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "04118",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "LIC.#5CNC#15-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospicio Menonita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.