NPIMap

Organization Active NPI

Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

  • Community Based Hospice Care Agency
  • Ponce, PR
National Provider Identifier
1841925161
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC.
Practice address
917 Ave Tito Castro
Building a, 4TH Floor
Ponce, PR 00716-4717
Phone
(787) 843-4185
Fax
(787) 843-5850
NPI assigned
Jul 20, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Mrs. Isuanet Castillo Medina
Title
Directora Ejecutiva Operacional
Phone
(787) 843-4185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

917 Ave Tito Castro
Building a, 4TH Floor
Ponce, PR 00716-4717

Mailing address

PO Box 7064
Ponce, PR 00732-7064
Phone (787) 843-4185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829000057 PR Part A Provider - Hospice 3678957461 Practice locations: Aguadilla, PR; Trujillo Alto, PR; Ponce, PR; Lares, PR; Bayamon, PR; Arecibo, PR; Caguas, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841925161. Details of each certification follow.

Hospice certification: CCN 401530

Legal name
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 27, 1993
Last certification
Sep 4, 2002
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2000 in PR
Enrollment address
917 Avenida Tito Castro-Carr 14
4TH FL Building a
Ponce, PR 00716-4717

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncCCN 401530 · All quality measures
Ownership
Non-Profit
Certified
Jan 27, 1993
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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
Servicios de Salud Episcopales, Inc. Organization, Ponce, PR Corporation, Management services company, Consulting firm, Non-profit Operational/Managerial Control Sep 1, 2000 100%
Evelyn Torres Rivera Individual Corporate DirectorBoard of Director - Secretary Sep 1, 2014
Rafael L Morales Maldonado Individual Corporate DirectorPresident Board of Directot-Obis Jul 1, 2017
Juan a Salazar Trogolo Individual Corporate OfficerPrincipal Oficial Ejecutivo-Serv May 23, 2018
W-2 Managing EmployeePrincipal Oficial Ejecutivo-Serv May 23, 2018
Emilia Morales Vega Individual Corporate DirectorBoard of Director-Vice President Jan 1, 2006
Francisco Otero Individual Corporate DirectorDirector Asociado Mar 18, 2024
W-2 Managing EmployeeDirector Asociado Mar 18, 2024
Ana M Lago Correa Individual Corporate DirectorBoard of Director - Member Jan 1, 2012
Fernando Nieves Camacho Individual Corporate DirectorBoard of Director- Member May 1, 2016
Isuanet Castillo Medina Individual Corporate OfficerDirector Ejectiva Operacional Jul 3, 2008
W-2 Managing EmployeeDirector Ejectiva Operacional Jul 3, 2008
Iglesia Episcopal Puertorriquena, Inc Organization, San Juan, PR Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2000 100%
Angel Davila Individual Contracted Managing EmployeeMD; Mar 1, 2024
Corporate DirectorMedical Director Mar 1, 2024
Jose a Diaz Martinez Individual Corporate DirectorBoard of Director-Member May 1, 2018
Eileen I Torres Guadalupe Individual Corporate DirectorFinance Director Jul 8, 2024
W-2 Managing EmployeeFinance Director Jul 8, 2024
Rosemary de la Cruz Severino Individual Corporate OfficerPrincipal Oficial Financeria Dec 14, 2018
W-2 Managing EmployeePrincipal Oficial Financeria Dec 14, 2018
Lydia Colon Torres Individual Corporate DirectorBoard of Directors- Member 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.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2022 Change of OwnershipThis provider was the buyer St. Lukes Episcopal Church Home Care & Hospice ProgramCCN 401530, PR, NPI 1932108776

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 82

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

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1841925161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7064",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327064",
            "telephone_number": "787-843-4185",
            "fax_number": "787-259-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "address_2": "BUILDING A, 4TH FLOOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-843-4185",
            "fax_number": "787-843-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO MEDINA",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA OPERACIONAL",
        "authorized_official_telephone_number": "787-843-4185",
        "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": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.