Guaynabo Home Care Program, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9907 Issued in PR

Legal business name

GUAYNABO HOME CARE PROGRAM, INC.

Doing business as

Cuidado Casero Guaynabo

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

Last updated

Feb 7, 2023By 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

Carmen Santiago, DRPHNPI 1003509373

Title

Ceo

Phone

(817) 310-1100

Specialties & licenses 1

Addresses

Other names 1

• CUIDADO CASERO GUAYNABO Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851325849. Details of each certification follow.

• CCN 407013 Home health agency · Active · Details

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

CorporationProprietary

Incorporated

Jul 5, 1978 in PR

Enrollment address

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

Listed as

Guaynabo Home CareCCN 407013 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jan 7, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen Santiago, APRN-CNP

  • Primary Care Nurse Practitioner
  • Southlake, TX
  • NPI 1003509373
  Authorized official Same address or phone

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1851325849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 AVE DE DIEGO",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203723",
            "telephone_number": "787-620-5577",
            "fax_number": "787-620-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 AVE DE DIEGO",
            "address_2": "URB PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203723",
            "telephone_number": "787-720-9351",
            "fax_number": "787-789-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Ave De Diego",
            "address_2": "PUERTO NUEVO",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009203723",
            "country_code": "US",
            "telephone_number": "787-720-7312",
            "fax_number": "787-789-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Union Bo Piedras Blancas",
            "address_2": "Barrio Los Frailes",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00965",
            "country_code": "US",
            "telephone_number": "787-720-9351",
            "fax_number": "787-789-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUAYNABO HOME CARE PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "9907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUIDADO CASERO GUAYNABO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CUIDADO CASERO GUAYNABO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Home Health Agency in San Juan, PR
• Providers in San Juan, PR by specialty
• Home Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.