St Lukes Episcopal Church Home Care Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

25 Issued in PR

Legal business name

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Doing business as

Saint Lukes Home Health Agency

Practice address

Centro Comercial San Vicente Mall
Sector Melania Carr #3
Guayama, PR 00784-9601

Phone

(787) 843-4185

NPI assigned

Jul 14, 2005

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Isuanet Castillo, CPA

Title

Operational Executive Director

Phone

(787) 843-4185

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Saint Lukes Home Health Agency Doing business as

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1508865312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR1 BOX 6091",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007849601",
            "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": "CENTRO COMERCIAL SAN VICENTE MALL",
            "address_2": "SECTOR MELANIA CARR #3",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007849601",
            "telephone_number": "787-843-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "OPERATIONAL EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-843-4185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9800093",
            "state": "PR"
        },
        {
            "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Lukes Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Guayama, PR
• Providers in Guayama, PR by specialty
• Home Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.