Advanced Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADVANCED HOSPICE SERVICES, INC.

Practice address

1353 Rd. 19
Guaynabo, PR 00966

Phone

(787) 783-2245

NPI assigned

Oct 22, 2012

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aixa Cardona, MT

Title

Coo

Phone

(787) 783-2245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730432253. Details of each certification follow.

• CCN 401570 Hospice · Active · Details

Hospice certification: CCN 401570

Legal name

ADVANCED HOSPICE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 24, 2015

Last certification

Feb 18, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 16, 2011 in PR

Enrollment address

Carr. 869, Urb. Palmas Industrial Park
Calle 19, Bo. Palmas
Catano, PR 00962-2715

Listed as

Advance Hospice Services IncCCN 401570 · All quality measures

Ownership

For-Profit

Certified

Jun 24, 2015

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aida Eugenia Medina, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1407691223

  Hospice

  Care Compare affiliation
• Nannette L. Santiago Betancourt, MD

  • General Practice Physician
  • Caguas, PR
  • NPI 1730673666

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1730432253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 507 1353 RD. 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-783-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 RD. 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-783-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "AIXA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "787-783-2245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Guaynabo, PR
• Providers in Guaynabo, 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 Jul 15, 2022; 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.