Organization Active NPI

Nueva Vida de la Salud Home Care Corp

  • Home Health Agency
  • Bayamon, PR
National Provider Identifier
1902167703
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NUEVA VIDA DE LA SALUD HOME CARE CORP
Practice address
Carr # 2 - KM 15.5, Suite 7
Hato Tejas
Bayamon, PR 00959-6107
Phone
(787) 915-5748
Fax
(787) 915-5814
NPI assigned
Jun 7, 2012
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Linda J. Mendez
Title
Coo
Phone
(787) 620-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

Carr # 2 - KM 15.5, Suite 7
Hato Tejas
Bayamon, PR 00959-6107

Mailing address

PO Box 3569
Carolina, PR 00984-3569
Phone (787) 915-5748

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130206000177 PR Part A Provider - Home Health Agency 6406000140 Practice locations: Bayamon, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902167703. Details of each certification follow.

Home health agency certification: CCN 407035

Legal name
NUEVA VIDA DE LA SALUD HOME CARE, CORP.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 13, 2013
Last certification
Dec 28, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2012 in PR
Enrollment address
Plaza Bayamon Carr # 2 KM 15.5
Suite 6 & 7 Hato Tejas
Bayamon, PR 00959-6107

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nueva Vida de la Salud Home Care CorpCCN 407035 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 13, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ihcs/CMS Parent LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Donald K Klink Individual Corporate Officer Aug 28, 2023
Ajani Pidikiti Nimmagadda Individual Corporate OfficerChief Medical Officer Oct 7, 2024
Clinical Medical Services, Inc. Organization, Miramar, FL Corporation 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Ihcs/CMS Holdings LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Nautic Partners VIII LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 42.2%
CMS Home Care LLC Organization, Carolina, PR For-profit 5% Or Greater Direct Ownership Interest Jul 16, 2013 100%
Christopher Bradbury Individual Corporate OfficerCeo Aug 26, 2022
Raul Rodriguez-Alvarez Individual 5% Or Greater Indirect Ownership Interest Sep 14, 2018 11.6%
Nautic Partners VIII a LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 16.4%
CMS Purchaser LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Linda J Mendez Individual Corporate OfficerChief Operating Officer/Secretary Sep 14, 2018
Corporate DirectorDirector Jul 16, 2013
Operational/Managerial Control Jan 29, 2021

Owners & managing parties with NPI records 2

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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1902167703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3569",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843569",
            "telephone_number": "787-915-5748",
            "fax_number": "787-915-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 2 - KM 15.5, SUITE 7",
            "address_2": "HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596107",
            "telephone_number": "787-915-5748",
            "fax_number": "787-915-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA DE LA SALUD HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "787-620-2900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.