St Lukes Episcopal Church Home Care Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

40 Issued in PR

Legal business name

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Doing business as

St. Lukes Home Health Agency Fajardo

Practice address

Edif. Caribbean Cinemas, Ofic. 207
Punta del Este Shopping Center
Fajardo, PR 00738

Phone

(787) 843-4185

Fax

(787) 843-5850

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Addresses

Other identifiers 4

Other names 1

• St. Lukes Home Health Agency Fajardo Doing business as

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1952395055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70005",
            "address_2": "SUITE 197",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "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": "EDIF. CARIBBEAN CINEMAS, OFIC. 207",
            "address_2": "PUNTA DEL ESTE SHOPPING CENTER",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "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": "2005-09-02",
        "last_updated": "2011-12-16",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PR",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1-9485ST",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "071002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "9800093",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7330102",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Lukes Home Health Agency Fajardo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Servicios Medicos Integrados de Fajardo, P.S.C.
• Servicios Medicos Profesionales del Este
• Edward B Smith Fermoso, M.D.
• Dania Yasbel Solero
• Sonia a. Gonzalez Echevarria
• St. Ralphs Medical Group
• Heidy Marie Suarez de Jesus
• Sunrise Medical Services LLC
• Super Farmacia Libertad Inc.
• Super Farmacia Libertad Inc.

• Home Health Agency in Fajardo, PR
• Providers in Fajardo, 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 Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.