Active NPI
Preferred Home Health Agency, Inc.
- Home Health Agency
- Miami, FL
National Provider Identifier
1003920554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992046
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651215100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jun 29, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1036675 | Preferred Home Health Agency Inc | Certificate of waiver | Feb 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Preferred Home Health Agency, Inc. | 5% Or Greater Direct Ownership Interest | Aug 30, 2016 | 100% |
| Yoanner Cardoso | 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
- Preferred Care Partners Medical Group, Inc.
- Preferred Care Partners Medical Group, Inc.
- Preferred Care Partners, Inc.
- Preferred Health Management LLC
- Preferred Health Partners LLC
- Preferred Home Health Care, Inc.
- Preferred Home Health of South Florida Corp
- Preferred Medical Equipment
- Preferred Orthopedics, Inc
- Preferred Physical Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.