Organization Active NPI

Allcare Home Health LLC

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1003417932
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLCARE HOME HEALTH LLC
Practice address
3600 Red Rd Ste 401
Miramar, FL 33025-6014
Phone
(954) 361-7119
Fax
(954) 361-7172
NPI assigned
Nov 6, 2020
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dayana Moreno
Title
Owner
Phone
(954) 361-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3600 Red Rd Ste 401
Miramar, FL 33025-6014

Mailing address

3600 Red Rd Ste 401
Miramar, FL 33025-6014
Phone (954) 361-7119

Other identifiers 1

IdentifierTypeStateIssuer
114117000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805002829 FL Part A Provider - Home Health Agency 8921480021 Practice locations: Miramar, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003417932. Details of each certification follow.

Home health agency certification: CCN 687198

Legal name
ALLCARE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 26, 2022
Last certification
Oct 26, 2022
Organization structure
LLCProprietary
Incorporated
Sep 14, 2020 in FL
Enrollment address
3350 SW 148TH Ave
Suite 110 Office 134
Miramar, FL 33027-3237

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allcare Home Health LLCCCN 687198 · All quality measures
Overall star rating
1 of 5
Ownership
-
Certified
Oct 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2256884Allcare Home Health LLC3600 Red Road Suite 401, Miramar, FL 33025Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Allcare Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2200 N Commerce Pkwy
Ste 255
Weston, FL 33326

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Dayana Moreno Individual 5% Or Greater Direct Ownership InterestAdministrator Jun 28, 2021 100%
Corporate OfficerAdministrator Sep 14, 2020 100%
Corporate DirectorAdministrator Sep 14, 2020 100%
W-2 Managing EmployeeAdministrator Dec 1, 2021 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1003417932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 401",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256014",
            "telephone_number": "954-361-7119",
            "fax_number": "954-361-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 401",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256014",
            "telephone_number": "954-361-7119",
            "fax_number": "954-361-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-361-7119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114117000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.