Organization Active NPI

Erena Igbe Care Services, Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1013322908
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ERENA IGBE CARE SERVICES, CORP
Practice address
8900 SW 107TH Ave Ste 307
Miami, FL 33176-1451
Phone
(305) 400-8735
Fax
(786) 431-1170
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Ms. Liurys Burey
Title
President
Phone
(305) 400-8735

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

8900 SW 107TH Ave Ste 307
Miami, FL 33176-1451

Mailing address

8900 SW 107TH Ave Ste 307
Miami, FL 33176-1451
Phone (305) 400-8735

Other identifiers 2

IdentifierTypeStateIssuer
299995417MedicaidFL
005528100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220531001936 FL Part A Provider - Home Health Agency 8224416433 Practice locations: Miami, FL

Home health agency certification: CCN 687264

Legal name
ERENA IGBE CARE SERVICES CORP.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 2023
Last certification
May 4, 2023
Organization structure
CorporationProprietary
Incorporated
May 8, 2012 in FL
Enrollment address
8900 SW 107TH Ave
Ste 307
Miami, FL 33176-1451
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Erena Igbe Care Services CorpCCN 687264
Ownership
-
Certified
May 18, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Erena Igbe Care Services Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8900 SW 107th Ave
Ste 307
Miami, FL 33176
Phone (305) 400-8735

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
Liurys Burey Individual Contracted Managing EmployeeOwner May 8, 2012 100%
5% Or Greater Direct Ownership InterestOwner May 8, 2012 100%
Corporate OfficerOwner May 8, 2012 100%
Corporate DirectorOwner May 8, 2012 100%
W-2 Managing EmployeeOwner May 8, 2012 100%
Operational/Managerial ControlOwner May 8, 2012 100%

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1013322908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 107TH AVE STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761451",
            "telephone_number": "305-400-8735",
            "fax_number": "786-431-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 107TH AVE STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761451",
            "telephone_number": "305-400-8735",
            "fax_number": "786-431-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERENA IGBE CARE SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BUREY",
        "authorized_official_first_name": "LIURYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-400-8735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299995417",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005528100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.