Organization Active NPI

Preferred Home Health Agency, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1003920554
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992046 Issued in FL
Legal business name
PREFERRED HOME HEALTH AGENCY, INC.
Practice address
13831 SW 59TH St Ste 105
Miami, FL 33183-1150
Phone
(305) 388-4851
Fax
(305) 388-4852
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Mr. Yoanner Roberto Cardoso
Title
Administrator
Phone
(305) 388-4851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992046 FL Primary

Addresses

Primary practice location

13831 SW 59TH St Ste 105
Miami, FL 33183-1150

Mailing address

13831 SW 59TH St Ste 105
Miami, FL 33183-1150
Phone (305) 388-4851

Other identifiers 1

IdentifierTypeStateIssuer
651215100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000979 FL Part A Provider - Home Health Agency 2365467594 Practice locations: Miami, FL

Home health agency certification: CCN 108322

Legal name
PREFERRED HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 29, 2006
Last certification
Oct 30, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 14, 2004 in FL
Enrollment address
13831 SW 59 St
Suite #105
Miami, FL 33183

Care Compare: Home health agency

Medicare Care Compare
Listed as
Preferred Home Health Agency IncCCN 108322
Ownership
Proprietary
Certified
Jun 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

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
10D1036675Preferred Home Health Agency Inc13831 SW 59 St Ste 105, Miami, FL 33183Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

13831 SW 59th St
Ste 105
Miami, FL 33183
Phone (305) 388-4851

6555 NW 36th St
Ste 303
Virginia Gardens, FL 33166
Phone (305) 871-0000

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Preferred Home Health Agency, Inc. Organization, Miami, FL Corporation 5% Or Greater Direct Ownership Interest Aug 30, 2016 100%
Yoanner Cardoso Individual 5% Or Greater Direct Ownership Interest Oct 1, 2006 100%
Corporate Director Oct 1, 2006
W-2 Managing Employee Oct 1, 2006

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1003920554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 SW 59TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831150",
            "telephone_number": "305-388-4851",
            "fax_number": "305-388-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13831 SW 59TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831150",
            "telephone_number": "305-388-4851",
            "fax_number": "305-388-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "YOANNER",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-388-4851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651215100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.