NPIMap

Organization Active NPI

Santiago, Inc.

Doing business as Firstat Nursing Services

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1437297223
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21394096 Issued in FL
Legal business name
SANTIAGO, INC.
Doing business as
Firstat Nursing Services
Practice address
3201 W Commercial Blvd
Suite 114
Fort Lauderdale, FL 33309-3440
Phone
(954) 731-0070
Fax
(954) 731-7871
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Jaime G Villablanca
Title
President
Phone
(561) 684-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21394096 FL Primary

Addresses

Primary practice location

3201 W Commercial Blvd
Suite 114
Fort Lauderdale, FL 33309-3440

Mailing address

5601 Corporate Way
Suite 404
West Palm Beach, FL 33407-2025
Phone (561) 684-9000

Other names 1

  • Firstat Nursing Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030714000066 FL Part A Provider - Home Health Agency 8820909732 Practice locations: Ft Lauderdale, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437297223. Details of each certification follow.

Home health agency certification: CCN 108092

Legal name
SANTIAGO, INC.
Doing business as
FIRSTAT NURSING SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 23, 2004
Last certification
Feb 21, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 6, 1995 in FL
Enrollment address
3201 W Commercial Blvd
Ste 114
Ft Lauderdale, FL 33309-3406

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Firstat Nursing Services- Ft LauderdaleCCN 108092 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Aug 23, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0918690Firstat Nursing Services3201 W Commercial Blvd Ste 114, Fort Lauderdale, FL 33309Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Firstat Nursing Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3201 W Commercial Blvd
Ste 114
Ft Lauderdale, FL 33309
Phone (954) 731-0070

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
Robert Hopson Individual 5% Or Greater Direct Ownership InterestSecretary Jun 1, 2001 50%
Corporate OfficerSecretary Jan 6, 1995 50%
Corporate DirectorSecretary Jul 14, 2003 50%
W-2 Managing EmployeeSecretary Jun 1, 2001 50%
Jamie Villablanca Individual 5% Or Greater Direct Ownership InterestPresident Jun 1, 2001 50%
Corporate OfficerPresident Jan 6, 1995 50%
Corporate DirectorPresident Jul 14, 2003 50%
W-2 Managing EmployeePresident Jun 1, 2001 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1437297223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY",
            "address_2": "SUITE 404",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072025",
            "telephone_number": "561-684-9000",
            "fax_number": "561-684-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD",
            "address_2": "SUITE 114",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093440",
            "telephone_number": "954-731-0070",
            "fax_number": "954-731-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "VILLABLANCA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-684-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21394096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firstat Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.