Vega Alta Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

401565 Issued in PR

Legal business name

VEGA ALTA HOSPICE CARE, INC.

Practice address

Calle Munoz Rivera #1
Vega Alta, PR 00692

Phone

(787) 270-4838

Fax

(787) 270-4972

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Miss Itzalia Tirado Valentin

Title

Executive Director

Phone

(787) 270-4838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Hospice certification: CCN 401565

Legal name

VEGA ALTA HOSPICE CARE INC

Doing business as

HOSPICIO LAS BRISAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 23, 2003

Last certification

Nov 6, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 16, 2005 in PR

Enrollment address

Calle Luis Munoz Rivera #1
Vega Alta, PR 00692-6540

Listed as

Hospicio Las BrisasCCN 401565

Ownership

For-Profit

Certified

Sep 23, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribel Figueroa, MSW

  • Clinical Social Worker
  • Vega Alta, PR
  • NPI 1437644614
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1528273992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-4838",
            "fax_number": "787-270-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA #1",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-4838",
            "fax_number": "787-270-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA ALTA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "TIRADO VALENTIN",
        "authorized_official_first_name": "ITZALIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-270-4838",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "401565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vazquez & Villegas LLC
• Daina Yaritza Vazquez Otero, MSW
• Julimar Vazquez, PHARMACY TECHNICIAN
• Vega Alta Community Health
• Vega Alta Community Health
• Vega Alta Imaging Center Inc
• Vega Alta Imaging Center PSC
• Vega Alta Medical Services
• Vega Alta Radiology, Inc.
• Vega Alta X Ray

• Community Based Hospice Care Agency in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Community Based Hospice Care Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.