Active NPI
St Lukes Episcopal Church Home Care Program
- Home Health Agency
- Utuado, PR
National Provider Identifier
1497749501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 41
- Legal business name
- ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
- Practice address
- #79 Calle Dr Cueto
Utuado, PR 00641 - Phone
- (787) 843-4185
- Fax
- (787) 843-5850
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mayra Hernandez
- Title
- Gerente Facturacion & Cobro
- Phone
- (787) 843-5855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 41 | PR | Primary |
Addresses
Primary practice location
#79 Calle Dr Cueto
Utuado, PR 00641
Mailing address
Apdo 1292
Utuado, PR 00641
Phone (787) 843-4185
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071002 | Other | PR | CRUZ AZUL |
| 1-9485ST | Other | PR | TRIPLE S |
| 7330102 | Other | PR | HUMANA |
| 9800093 | Other | PR | ACAA |
Other names 1
- St. Lukes Home Health Agency Utuado
National Provider Directory
National Provider DirectoryLocations
79 Calle Dr Cueto
Utuado, PR 00641
Phone (787) 485-7162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1497749501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "APDO 1292",
"city": "UTUADO",
"state": "PR",
"postal_code": "00641",
"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": "#79 CALLE DR CUETO",
"city": "UTUADO",
"state": "PR",
"postal_code": "00641",
"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": "2005-09-02",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "MAYRA",
"authorized_official_title_or_position": "GERENTE FACTURACION & COBRO",
"authorized_official_telephone_number": "787-843-5855",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PR",
"license": "41",
"primary": true
}
],
"identifiers": [
{
"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"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7330102",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "9800093",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Lukes Home Health Agency Utuado",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.