Provider Demographics
NPI:1528033420
Name:HEALTHKEEPERS HOSPICE INC.
Entity Type:Organization
Organization Name:HEALTHKEEPERS HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIAZ FONTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-786-4626
Mailing Address - Street 1:B14 CALLE 1
Mailing Address - Street 2:URB. SANTA CRUZ
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6922
Mailing Address - Country:US
Mailing Address - Phone:787-786-4626
Mailing Address - Fax:787-786-4676
Practice Address - Street 1:B14 CALLE 1
Practice Address - Street 2:URB. SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6922
Practice Address - Country:US
Practice Address - Phone:787-786-4626
Practice Address - Fax:787-786-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR401555Medicare ID - Type UnspecifiedHOSPICE