Active NPI
IV Home Therapy Corp
- Nursing Care Agency
- Ponce, PR
National Provider Identifier
1689724882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 51
- Legal business name
- IV HOME THERAPY CORP
- Practice address
- Carr Vieja Hacia Guayanilla
Bda Baldority #579
Ponce, PR 00717-1789 - Phone
- (787) 507-0371
- NPI assigned
- Jan 11, 2007
- 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
- Mr. James E. Johnson Rodriguez Sr., LPN
- Title
- President
- Phone
- (787) 507-0371
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 51 | PR | |
| Home Infusion Agency | 251F00000X | 06-059 | PR | |
| Nursing Care Agency | 251J00000X | 51 | PR | Primary |
| Multi-Specialty Clinic/Center | 261QM1300X | 1689724882 | PR | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 5275690001 | PR |
Addresses
Primary practice location
Carr Vieja Hacia Guayanilla
Bda Baldority #579
Ponce, PR 00717-1789
Mailing address
Los Maestros
Calle Martin Corchado #8234
Ponce, PR 00717-0254
Phone (787) 507-0371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54470 | Other | PR | HALTHCARE OF P,R, REFORMA |
| 19319 | Other | PR | TRIPLE S |
Other names 1
- IV HOME THERAPY CORP
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Port St Lucie, FL
- NPI 1285604322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1689724882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOS MAESTROS",
"address_2": "CALLE MARTIN CORCHADO #8234",
"city": "PONCE",
"state": "PR",
"postal_code": "007170254",
"telephone_number": "787-507-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR VIEJA HACIA GUAYANILLA",
"address_2": "BDA BALDORITY #579",
"city": "PONCE",
"state": "PR",
"postal_code": "007171789",
"telephone_number": "787-507-0371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IV HOME THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "JOHNSON RODRIGUEZ",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-507-0371",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PR",
"license": "51",
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "PR",
"license": "06-059",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "PR",
"license": "51",
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "PR",
"license": "1689724882",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "PR",
"license": "5275690001",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HALTHCARE OF P,R, REFORMA",
"identifier": "54470",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "19319",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IV HOME THERAPY CORP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.