NPIMap

Organization Active NPI

St Lukes Episcopal Church Home Care Program

  • Home Health Agency
  • Juana Diaz, PR
National Provider Identifier
1720072986
Registry record updated Dec 16, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28 Issued in PR
Legal business name
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Practice address
Calle Carrion Maudro Esq Callejon Las Marias
Juana Diaz, PR 00795
Phone
(787) 843-4185
Fax
(787) 843-5850
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 28 PR Primary

Addresses

Primary practice location

Calle Carrion Maudro Esq Callejon Las Marias
Juana Diaz, PR 00795

Mailing address

Calle Carrion Maudro Esq Callejon Las Marias
Juana Diaz, PR 00795
Phone (787) 843-4185

Other identifiers 4

IdentifierTypeStateIssuer
071002OtherPRCRUZ AZUL
1-9485STOtherPATRIPLE S
7330102OtherPRHUMANA
9800093OtherPRACAA

Other names 1

  • St Lukes Home Health Agency Juana Diaz Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1720072986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CARRION MAUDRO ESQ CALLEJON LAS MARIAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "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": "CALLE CARRION MAUDRO ESQ CALLEJON LAS MARIAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-12-16",
        "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": "28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9800093",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes Home Health Agency Juana Diaz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.