Grace Hospice of Puerto Rico, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

23 CNC NUM. 12-209 Issued in PR

Legal business name

GRACE HOSPICE OF PUERTO RICO, LLC

Practice address

Ave. Munoz Rivera #500
Condominio El Centro Suite #6
San Juan, PR 00918-0000

Phone

(787) 946-1078

Fax

(787) 946-1097

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Pat Taggart

Title

Partner

Phone

(787) 222-4842

Specialties & licenses 1

Addresses

Other names 1

• Grace Hospice Of Puerto Rico, LLC Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mark H Bussell MD Cpo PA

  • Physical Medicine & Rehabilitation Physician
  • Ft Worth, TX
  • NPI 1376763946

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Care Alternatives of Puerto Rico LLC

  • Community Based Hospice Care Agency
  • San Juan, PR
  • NPI 1932667086

  Sold to, 2019-05-31

  CMS change of ownership

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1730586751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366403",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366403",
            "telephone_number": "787-946-1078",
            "fax_number": "787-946-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MUNOZ RIVERA #500",
            "address_2": "CONDOMINIO EL CENTRO SUITE #6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180000",
            "telephone_number": "787-946-1078",
            "fax_number": "787-946-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE OF PUERTO RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "TAGGART",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-222-4842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PR",
            "license": "23 CNC NUM. 12-209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Hospice Of Puerto Rico, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Daniel E Goyco Vera
• Maria de Los Angeles Goytia Carriles, LCSW
• GPP Services Supplies Corp
• GPR Orthopedics PSC
• GR Radiology, PSC
• Alvaro Gracia Ramis, M.D.
• Maricarmen Grajales San Miguel, M.D.
• Maria Gabriela Granado, MS
• Grandmotherhome&Care Inc
• Trevor Hope Grant, MD

• Community Based Hospice Care Agency in San Juan, PR
• Providers in San Juan, 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 Jun 8, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.