Organization Active NPI

IV Home Therapy Corp

  • Nursing Care Agency
  • Ponce, PR
National Provider Identifier
1689724882
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
51 Issued in PR
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

Updated by the provider on Feb 4, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54470OtherPRHALTHCARE OF P,R, REFORMA
19319OtherPRTRIPLE S

Other names 1

  • IV HOME THERAPY CORP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.