Organization Active NPI

Cuidado Casero Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Juan, PR
National Provider Identifier
1437183779
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
401512 Issued in PR
Legal business name
CUIDADO CASERO HOSPICE, INC.
Practice address
580 Ave de Diego
San Juan, PR 00920-3723
Phone
(787) 287-4095
Fax
(787) 731-4928
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Carmen Santiago, DRPH
Title
Ceo
Phone
(817) 310-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 401512 PR Primary

Addresses

Primary practice location

580 Ave de Diego
San Juan, PR 00920-3723

Mailing address

580 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3723
Phone (787) 620-5577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041022000213 PR Part A Provider - Hospice 3173584208 Practice locations: San Juan, PR

Hospice certification: CCN 401512

Legal name
CUIDADO CASERO HOSPICE, INC.
Doing business as
CUIDADO CASERO HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 24, 1992
Last certification
Dec 23, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2003 in PR
Enrollment address
Ave de Diego 580
2ND Floor Suite C
San Juan, PR 00920-3723

Care Compare: Hospice

Medicare Care Compare
Listed as
Nova Hospice LLCCCN 401512
Ownership
For-Profit
Certified
Apr 24, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

C10 Calle Acuarela
Guaynabo, PR 00969
Phone (787) 287-4094

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Johanna Bedoya Rojas Individual W-2 Managing EmployeeAdministrator Jan 1, 2023
Carmen Santiago Individual 5% Or Greater Direct Ownership InterestCeo Jul 29, 2004 100%
Corporate OfficerCeo Jul 1, 2004 100%
Corporate DirectorCeo Oct 22, 2004 100%
W-2 Managing EmployeeCeo Jul 1, 2004 100%

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1437183779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 AVE DE DIEGO",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203723",
            "telephone_number": "787-620-5577",
            "fax_number": "787-620-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 AVE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203723",
            "telephone_number": "787-287-4095",
            "fax_number": "787-731-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUIDADO CASERO HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "401512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.