Guaynabo Home Care Program, Inc. – Home Health Agency

Key facts

NPI: 1851325849
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
License: 9907 (PR)
Legal business name: GUAYNABO HOME CARE PROGRAM, INC.
Practice address: 580 Ave de Diego
Urb Puerto Nuevo
San Juan, PR 00920-3723
Phone: (787) 720-9351
Fax: (787) 789-7070
NPI assigned: Jul 10, 2006
Organization subpart: No

Authorized official

Name: Carmen Santiago, DRPH
Title: Ceo
Phone: (817) 310-1100

Medicare Care Compare: Home health agency

Listed as: Guaynabo Home Care CCN 407013
Overall star rating: ★★☆☆☆ 2 of 5
Ownership: Proprietary
Certified: Jan 7, 1978
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Medical social, Home health aide

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR

Home health agency certification: CCN 407013

Legal name: GUAYNABO HOME CARE PROGRAM INC
Doing business as: CUIDADO CASERO GUAYNABO
Certification status: Active
Provider type (POS): Home health agency
Participating since: Jan 7, 1978
Last certification: Jan 16, 2020
Ownership / control type: Proprietary
Organization structure: Corporation · Proprietary
Incorporated: Jul 5, 1978 in PR
Enrollment address: 580 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3723

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.

Name	Role	Since	Share
Johanna Carreras Diaz Individual	W-2 Managing Employee Ad;	Jan 1, 2024
Carmen Santiago Individual	5% Or Greater Direct Ownership Interest	Jan 1, 1998	100%
	Corporate Officer Ceo, President	Jan 1, 1998	100%
	Corporate Director Ceo/Owner	Jan 1, 1998
	W-2 Managing Employee Ceo, President	Jan 1, 1998

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040303001331	PR	Part a Provider - Home Health Agency	6800783754	Practice locations: San Juan, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	9907	PR	Yes

Addresses

Primary practice location

580 Ave de Diego
Urb Puerto Nuevo
San Juan, PR 00920-3723

Mailing address

580 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3723
Phone (787) 620-5577

Other practice location 1

580 Ave De Diego
Puerto Nuevo
San Juan, PR 00920-3723
Phone (787) 720-7312

Other practice location 2

5 Union Bo Piedras Blancas
Barrio Los Frailes
Guaynabo, PR 00965
Phone (787) 720-9351

Other names

CUIDADO CASERO GUAYNABO Doing business as

Other providers in San Juan, PR

Angel Daniel Guante
Carolyn Guardado, RN
Giannina Eminee Guardia Rullan, M.D.
Carlos Guardiola Betancourt, M.D.
Gabriel Antonio Guardiola
Guaynabo Periodontics and Dental Implants
Carmen Guede, M.D.
Christopher Guerra Olivo
Cristina A. Guerra Rivera, MSW
Carlos Guerra-Santiago, MD

All providers in San Juan, PR · Home Health Agency in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.