Organization Active NPI

St Lukes Episcopal Church Home Care Program

  • Home Health Agency
  • Utuado, PR
National Provider Identifier
1497749501
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
41 Issued in PR
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

Updated by the provider on Jul 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
071002OtherPRCRUZ AZUL
1-9485STOtherPRTRIPLE S
7330102OtherPRHUMANA
9800093OtherPRACAA

Other names 1

  • St. Lukes Home Health Agency Utuado Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.