NPIMap

Organization Active NPI

Mennonite General Hospital, Inc.

  • Home Health Agency
  • Caguas, PR
National Provider Identifier
1841278751
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LIC.#6CNC#15-101 Issued in PR
Legal business name
MENNONITE GENERAL HOSPITAL, INC.
Practice address
Carr #1
KM 34 9 Bo Bairoa
Caguas, PR 00725
Phone
(787) 743-1122
Fax
(787) 746-1066
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Mrs. Ana B. Torres, MHSA
Title
Administrator
Phone
(787) 743-1121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 79359 PR
Home Health Agency 251E00000X LIC.#6CNC#15-101 PR Primary

Addresses

Primary practice location

Carr #1
KM 34 9 Bo Bairoa
Caguas, PR 00725

Mailing address

PO Box 5742
Caguas, PR 00726
Phone (787) 743-1121

Other names 1

  • Salud En El Hogar Menonita Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226001184 PR Part A Provider - Home Health Agency 6709843964 1 other NPI on this enrollment
Practice locations: Caguas, PR

Home health agency certification: CCN 407007

Legal name
MENNONITE GENERAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 1976
Last certification
Sep 1, 2015
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1976 in PR
Enrollment address
Barrio Bairoa Carretera #1, KM. 34.9
Salud En El Hogar Menonita
Caguas, PR 00726-2800

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Servicios de Salud En El Hogar MenonitaCCN 407007
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 10, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual Menonita Cima41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Lymari Colon Colon Individual Corporate DirectorCfo Nov 1, 2019 100%
W-2 Managing EmployeeCfo Nov 1, 2019 100%
Jose Veguilla Cartagena Individual Corporate DirectorBoard Member for a Non Profit Or Mar 10, 1994
Lissette Vasquez Rivera Individual Corporate OfficerDirector Billing and Collection Jan 1, 2023 5%
W-2 Managing EmployeeDirector Billing and Collection Jan 1, 2023 5%
Maria a Echevarria Cardona Individual Corporate DirectorBoard Member for a Non Profit Or May 5, 2010
Hermann Bauer Miesses Individual Corporate DirectorBoard Member for a Non Profit Or Dec 13, 2005
Daniel Olivera Individual Corporate DirectorBoard Member for a Non Profit Or May 20, 2005
Jose Rivera Individual Corporate DirectorBoard Member for a Non Profit Or Dec 13, 2005
Virginia Rivera Individual Corporate DirectorBoard Member for a on Profit Org Apr 29, 2009
Maria Irizarry Individual Corporate DirectorBoard Member for a Non Profit Or May 5, 2010
Ricardo Hernandez Rivera Individual Contracted Managing EmployeeCeo Nov 1, 2019 100%
Corporate DirectorCeo Nov 1, 2019 100%
W-2 Managing EmployeeCeo Nov 1, 2019 100%
Victor Ortiz Individual Corporate DirectorBoard Member for a Non Profit Or Dec 9, 2015
Mariangela Alvarado Soto Individual Corporate Officer Jan 1, 2023 100%
W-2 Managing EmployeeAdministrator Jan 1, 2023 100%
Larry Bonilla Sauder Individual Corporate DirectorBoard Member for a Non Profit Or Nov 11, 2009
Juan Colon Individual Corporate DirectorBoard Member of a Non Profit Org Apr 29, 2009
Francisco D Rodriguez Maldonado Individual Corporate DirectorBoard Member for a Non Profit Or Aug 1, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospital Menonita PoncePonce, PR, CCN 400113 Hospital Operational/Managerial Control Sep 29, 2022
Mennonite HospiceAibonito, PR, CCN 401534 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 1, 1993
Oct 12, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1841278751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5742",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-743-1121",
            "fax_number": "787-746-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #1",
            "address_2": "KM 34 9 BO BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-1122",
            "fax_number": "787-746-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-1121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "79359",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "LIC.#6CNC#15-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salud En El Hogar Menonita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.