Active NPI
Magnifica Homehealth Support
- In Home Supportive Care Agency
- Ponce, PR
National Provider Identifier
1700479615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MAGNIFICA HOMEHEALTH SUPPORT
- Practice address
- D3 Calle Amaranta
Ponce, PR 00716-4022 - Phone
- (939) 777-2425
- NPI assigned
- Feb 11, 2021
- 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
- Waleska Lopez, RN,MBA
- Title
- Healthcare Administrator
- Phone
- (939) 777-2425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
D3 Calle Amaranta
Ponce, PR 00716-4022
Mailing address
PO Box 371
Mercedita, PR 00715-0371
Phone (939) 777-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8246 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ponce | Direct |
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.
-
- Home Health Agency
- Carolina, PR
- NPI 1508180027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1700479615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150371",
"telephone_number": "939-777-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D3 CALLE AMARANTA",
"city": "PONCE",
"state": "PR",
"postal_code": "007164022",
"telephone_number": "939-777-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNIFICA HOMEHEALTH SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "WALESKA",
"authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
"authorized_official_telephone_number": "939-777-2425",
"authorized_official_credential": "RN,MBA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8246",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ponce",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "D3 Calle Amaranta",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "007164022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.