Active NPI
St Lukes Episcopal Church Home Care Program
- Parenteral & Enteral Nutrition Supplies (DME)
- Ponce, PR
National Provider Identifier
1891793667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
- Practice address
- 917 Ave Tito Castro
Hospital Episcopal San Lucas
Ponce, PR 00716-4717 - Phone
- (787) 843-4185
- Fax
- (787) 843-5850
- NPI assigned
- Jul 14, 2005
- Last updated
- Jun 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Isuanet Castillo, CPA
- Title
- Operational Executive Director
- Phone
- (787) 843-4185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Hospital Episcopal San Lucas
Ponce, PR 00716-4717
Mailing address
PO Box 7064
Ponce, PR 00732-7064
Phone (787) 843-4185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19485ST | Other | PR | TRIPLE S |
Other names 1
- Programa de Alimentacion Enteral
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339718400000",
"number": "1891793667",
"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": "787-843-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"address_2": "HOSPITAL EPISCOPAL SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-843-4185",
"fax_number": "787-843-5850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2012-06-15",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "ISUANET",
"authorized_official_title_or_position": "OPERATIONAL EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "787-843-4185",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "19485ST",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Programa de Alimentacion Enteral",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ponce, PR
- Southwestern Cardiology Group, Inc
- Special Tactics and Rescue Services Corp
- Spine Puerto Rico LLC
- St Lukes Episcopal Church Home Care Program (Saint Lukes Home Care)
- St Lukes Episcopal Church Home Care Program (Saint Lukes Home Health Agency)
- St Lukes Episcopal Church Home Care Program
- St. Lukes Episcopal Church Home Care Program-Pharmacy
- Starbright Academy, LLC
- Karina Marie Steel
- Veronica L Suarez Campos, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.