ST JUDE NURSING HOME INC (NPI# 1093110926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093110926 |
| Entity Type | Organization |
| Organization Name | ST JUDE NURSING HOME INC |
| Other Organization Name | ST JUDE NURSING & REHAB FACILITY |
| Practice Address |
1214 Calle Jose Abad Club Manor San Juan PR 00924-4336 |
| Mailing Address |
Po Box 9117 Plaza Carolina Station Carolina PR 00988-9117 |
| Practice Telephone | 7877763013 |
| Practice Fax Number | 7877629334 |
| Mailing Telephone | 7877763013 |
| Mailing Fax Number | 7877629334 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | HECTOR E JACA (CEO) |
| Authorized Official Telephone | 7877763013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ST JUDE NURSING & REHAB FACILITY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403989 | St Jude Nursing Home Inc | Clinical Medical Laboratory | 1214 Calle Jose Abad, San Juan, PR 00924-4336 | 2020-03-25 |
| 1275902348 | St Jude Nursing Home Inc | Clinic/Center | 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336 | 2015-09-18 |
| 1528141884 | St Jude Nursing Home Inc | Skilled Nursing Facility | 1214 Calle Jose Abad, Club Manor, Rio Piedras, PR 00924-4336 | 2006-10-23 |
| Street Address |
1214 CALLE JOSE ABAD CLUB MANOR |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00924-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403989 | St Jude Nursing Home Inc | Clinical Medical Laboratory | 1214 Calle Jose Abad, San Juan, PR 00924-4336 | 2020-03-25 |
| 1437622065 | 65th Infantry Community Healthcare Services Inc | Family Medicine | 1214 Calle Jose Abad, San Juan, PR 00924-4336 | 2019-01-07 |
| 1275902348 | St Jude Nursing Home Inc | Clinic/Center | 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081780 | A R Quinones, Md LLC | Clinic/Center | 939 Campo Rico Ave, San Juan, PR 00924 | 2020-10-21 |
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1124634324 | Kristian Nagel Ortiz Colon | Occupational Therapy Assistant | Villa Capri Verona 1180, San Juan, PR 00924 | 2020-09-22 |
| 1093327439 | Axel David Reyes Vazquez | Student in an Organized Health Care Education/Training Program | Calle Juan Pena Reyes #977, Condominio Sabana Village, San Juan, PR 00924 | 2020-08-18 |
| 1518576370 | Edison Yadiel Martinez Monegro | Student in an Organized Health Care Education/Training Program | Parcelas Falu Calle 36 #304, San Juan, PR 00924 | 2020-07-28 |
| 1851914766 | Jorge Rafael Santiago Jordi | Student in an Organized Health Care Education/Training Program | Madagascar 767 Country Club, San Juan, PR 00924 | 2020-05-26 |
| 1265066120 | Rootcanals To Go Psc | Dentist | Villa Capri, 585 Calle Lodi, San Juan, PR 00924 | 2020-02-28 |
| 1467009688 | Advanced Psychoeducational Services Inc | Psychologist | Avenida 65th Infanteria, Ext San Agustin # 362, San Juan, PR 00924 | 2019-08-22 |
| 1770130361 | Fatima M Martinez | Psychologist | Avenida 65th Infanteria Ext San Agustin, 362, San Juan, PR 00924 | 2019-08-20 |
| Find all providers in zip 00924 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839528 | Lizbeth M Ortega Ortega | Clinic/Center | 260 Calle 54 Se, Urb La Riviera, San Juan, PR 00929 | 2016-01-24 |
| 1164853115 | Miladys Cortes | Clinic/Center | 608 Ave Escorial, San Juan, PR 00920-4719 | 2013-12-02 |
| 1639490147 | Clinica De Terapia Manual, Crl | Clinic/Center | 576 Cesar Gonzalez Ave. Suite 504, Doral Bank Center, San Juan, PR 00918 | 2010-06-18 |
| 1205094752 | Dra Nalix Garcia Catalan Psc | Clinic/Center | Pmb 151 100 Grand, Paseo Blvd Suite 112, San Juan, PR 00926-5902 | 2008-05-30 |
| 1710048863 | Physiocare Therapy, PC | Clinic/Center | 407 W State Hwy 495, San Juan, TX 78589 | 2006-12-13 |
| 1750441556 | Aixa Aimee Tort | Clinic/Center | 1733 Calle Theis, Rio Piedras Heights, San Juan, PR 00926-3248 | 2006-12-11 |
| 1013009984 | Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLC | Clinic/Center | 419 Ponce De Leon, Edificio Metropolis Suite 102, San Juan, PR 00917-3403 | 2006-09-29 |
| 1235750696 | Get Well | Clinic/Center | Ashford Medical Center, Oficina 409, San Juan, PR 00907 | 2020-04-27 |
| 1639551104 | Alliance Health Company | Clinic/Center | 1225 Ave Ponce De Leon, Suite 702, San Juan, PR 00907-3907 | 2015-06-22 |
| 1871925131 | Medical Logistics Services | Clinic/Center | 1449 Calle Americo Salas, Suite 101, San Juan, PR 00909-1908 | 2013-08-08 |
| Find all providers in SAN JUAN | ||||
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| 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.