Active NPI
Path of Live Hospice Care Inc.
- Community Based Hospice Care Agency
- Manati, PR
National Provider Identifier
1730928920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PATH OF LIVE HOSPICE CARE INC.
- Practice address
- Calle McKinley Y Acosta #62
Manati, PR 00674 - Phone
- (787) 692-3878
- NPI assigned
- May 20, 2024
- Last updated
- Nov 11, 2025
- 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
- Waldemar Acevedo
- Title
- Director
- Phone
- (787) 943-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
Calle McKinley Y Acosta #62
Manati, PR 00674
Mailing address
Urb Valle Barahona
63 Calle Caoba F9
Morovis, PR 00687
Phone (787) 943-5853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107001122 | PR | Part A Provider - Hospice | 0648756932 | Practice locations: Manati, PR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730928920. Details of each certification follow.
Hospice certification: CCN 401577
- Legal name
- PATH OF LIVE HOSPICE CARE INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 6, 2026
- Last certification
- Feb 12, 2026
- Organization structure
- Corporation
- Enrollment address
- Calle McKinley Y Acosta #62
Manati, PR 00674
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robin Santiago Delgado | Contracted Managing Employee | Jul 13, 2023 | |
| Waldemar Acevedo | 5% Or Greater Direct Ownership Interest | Jul 13, 2023 | 50% |
| Corporate Officer | Jul 13, 2023 | 50% | |
| W-2 Managing Employee | Jul 13, 2023 | ||
| Keila Quinones Serpa | 5% Or Greater Direct Ownership Interest | Jul 13, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Florida, PR
- NPI 1457437394
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1730928920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB VALLE BARAHONA",
"address_2": "63 CALLE CAOBA F9",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-943-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MCKINLEY Y ACOSTA #62",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-692-3878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATH OF LIVE HOSPICE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-20",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "ACEVEDO",
"authorized_official_first_name": "WALDEMAR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-943-5853"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.