Active NPI
Erena Igbe Care Services, Corp
- Home Health Agency
- Miami, FL
National Provider Identifier
1013322908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299995417 | Medicaid | FL | |
| 005528100 | 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 |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- May 8, 2012 in FL
- Enrollment address
- 8900 SW 107TH Ave
Ste 307
Miami, FL 33176-1451
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Erena Igbe Care Services Corp
- Ownership
- -
- Certified
- May 18, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Erena Igbe Care Services Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1295493948
-
- Attendant Care Provider
- Miami, FL
- NPI 1548513054
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Liurys Burey | Contracted Managing Employee | May 8, 2012 | 100% |
| 5% Or Greater Direct Ownership Interest | May 8, 2012 | 100% | |
| Corporate Officer | May 8, 2012 | 100% | |
| Corporate Director | May 8, 2012 | 100% | |
| W-2 Managing Employee | May 8, 2012 | 100% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.