S & R Hospice, Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

S & R HOSPICE, CORPORATION

Practice address

Carr. 2, KM. 111.5
Arenales
Isabela, PR 00662

Phone

(787) 872-5458

Fax

(787) 252-0854

NPI assigned

Jun 7, 2007

Last updated

Aug 21, 2013By 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. Licedia Rosado

Title

Executive Director

Phone

(787) 589-0003

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 1740483643. Details of each certification follow.

• CCN 401559 Hospice · Active · Details

Hospice certification: CCN 401559

Legal name

S&R HOSPICE CORPORATION

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 28, 2001

Last certification

Feb 17, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationProprietary

Incorporated

Sep 29, 2000 in PR

Enrollment address

111.5 Carr 2 KM
Bo. Arenales
Isabela, PR 00662

Listed as

S & R Hospice CorpCCN 401559 · All quality measures

Ownership

For-Profit

Certified

Mar 28, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Hospicio Santa Rita Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hospicio Santa Rita, Inc.

  • Community Based Hospice Care Agency
  • Aguada, PR
  • NPI 1790871333
  NPD tax ID

All disclosed owners & managing parties 2

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

Affiliated clinicians 3

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

• Sylvia Iris Acosta Perez

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1356022032

  Hospice

  Care Compare affiliation
• Toscania Y. Fulgencio

  • General Practice Physician
  • Trujillo Alto, PR
  • NPI 1568251114

  Hospice

  Care Compare affiliation
• Francisco Rivera Acevedo, MD

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1730924671

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1740483643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021143",
            "telephone_number": "787-589-0003",
            "fax_number": "787-252-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2, KM. 111.5",
            "address_2": "ARENALES",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-5458",
            "fax_number": "787-252-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R HOSPICE, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "LICEDIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-589-0003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarilys Rosas Rodriguez, SLP
• Kiomarie Ross
• RRR Health System Group PSC
• Eniledam Ashkyr Ruiz
• Yolanda Ruiz, BSNRN
• Manuel Salgado
• Salud Psicointegral Y Accion Educativa, CSP
• Ervin Alfredo Salva Aymat, M.D.
• Omar Antonio Samot Cruz Sr.
• Sana Clinica de Terapia Fisica Y Rehabilitacion LLC

• Community Based Hospice Care Agency in Isabela, PR
• Providers in Isabela, 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 Aug 21, 2013; 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.