Southeast Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299991990 Issued in FL

Legal business name

SOUTHEAST HOMECARE LLC

Practice address

3125 W Commercial Blvd
Suite 110
Fort Lauderdale, FL 33309-3448

Phone

(954) 615-6200

Fax

(954) 615-6202

NPI assigned

May 22, 2009

Organization subpart

No

Name

Linda Mendez

Title

Chief Operating Officer

Phone

(844) 215-4264

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southeast Homecare LLC

  • Home Health Agency
  • Doral, FL
  • NPI 1568697381

  7113059247

  Same PAC ID

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

• Univita of Florida, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Miramar, FL
  • NPI 1093714495

  Member Of

  NPD member

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alborada Home Health of Tampa, Inc

  • Home Health Agency
  • Tampa, FL
  • NPI 1033469168

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Alborada Home Health of Tampa, Inc

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1376724146

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Infinity Home Health Care of Florida Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1790197705

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Integrated Home Care Acquisition Corp, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Southeast Homecare LLC

  • Home Health Agency
  • Doral, FL
  • NPI 1568697381

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Integrated Home Care Acquisition Corp, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Metro, LLC.

  • Home Health Agency
  • San Juan, PR
  • NPI 1811370562

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Norte, LLC

  • Home Health Agency
  • Hatillo, PR
  • NPI 1215486964

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Oeste, LLC.

  • Home Health Agency
  • Mayaguez, PR
  • NPI 1568864940

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Sur, LLC.

  • Home Health Agency
  • Ponce, PR
  • NPI 1770907818

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Nueva Vida de la Salud Home Care Corp

  • Home Health Agency
  • Bayamon, PR
  • NPI 1902167703

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership

Listed as

Southeast HomecareCCN 108138

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Feb 16, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Legal name

SOUTHEAST HOMECARE LLC

Doing business as

SOUTHEAST HOMECARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 16, 2005

Last certification

Mar 26, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 29, 2022 in FL

Enrollment address

3125 W Commercial Blvd
Suite 110
Ft. Lauderdale, FL 33309
HHA Branch

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

Tax ID family

Southast Homecare Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Southast Homecare Corp

  • Home Health Agency
  • Ft Lauderdale, FL
  • NPI 1407810450
  NPD tax ID
• Southeast Homecare Corporation

  • Home Health Agency
  • Doral, FL
  • NPI 1780648733
  NPD tax ID
• Southeast Homecare LLC

  • Home Health Agency
  • Doral, FL
  • NPI 1568697381
  NPD tax ID

Locations

• Southeast Homecare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2019.

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1003041823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 W. COMMERCIAL BLVD.",
            "address_2": "SUITE 110",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-615-6200",
            "fax_number": "954-615-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 W COMMERCIAL BLVD",
            "address_2": "SUITE 110",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093448",
            "telephone_number": "954-615-6200",
            "fax_number": "954-615-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "844-215-4264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "108138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fort Lauderdale, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.