SAINT LUKES EPISCOPAL CHURCH HOME CARE PROGRAM


Address: 291 Calle Monterrey, Ponce, PR 00717-1376
Phone: 7878434185

SAINT LUKES EPISCOPAL CHURCH HOME CARE PROGRAM (NPI# 1366591018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366591018
Entity Type Organization
Organization Name SAINT LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Other Organization Name ST. LUKES HOME HEALTH AGENCY - CENTRAL
Practice Address 291 Calle Monterrey
Ponce
PR 00717-1376
Mailing Address Po Box 7064
Ponce
PR 00732-7064
Practice Telephone 7878434185
Practice Fax Number 7878435850
Mailing Telephone 7878434185
Mailing Fax Number 7878435850
Enumeration Date 2007-01-10
Last Update Date 2008-07-14
Authorized Official Name MRS. MAYRA HERNANDEZ (GERENTE FACTURACION Y COBRES)
Authorized Official Telephone 7878435855
Is Organization Subpart Y
Parent Organization Name SAINT LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health PR Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PR CRUZ AZUL 071002 01
PR HUMANA 7330102 01
PR ACAA 9800093 01
PR TRIPLE S 1-9485ST 01
PR CIGNA 660289157 01

Other Provider/Organization Names

Other Name Type Code
St. Lukes Home Health Agency - Central Doing Business As Name - Organization

Office Location

Street Address 291 CALLE MONTERREY
City PONCE
State PR
Zip Code 00717-1376

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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City PONCE
Zip Code 00717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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