Open Wings Home Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OPEN WINGS HOME AGENCY LLC

Practice address

16499 NE 19TH Ave Ste 213
N Miami Beach, FL 33162-4105

Phone

(786) 319-8209

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Ana Angelica Perez

Title

Ceo

Phone

(786) 319-8209

Specialties & licenses 2

Addresses

Other names 1

• OPEN WINGS HOME CARE AGENCY Doing business as

Locations

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1003582891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 NE 176TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621445",
            "telephone_number": "786-319-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16499 NE 19TH AVE STE 213",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624105",
            "telephone_number": "786-319-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN WINGS HOME AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-319-8209"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN WINGS HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPEN WINGS HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.