Procare Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROCARE HOME HEALTH LLC

Practice address

7438 Wiles Rd
Coral Springs, FL 33067-2066

Phone

(954) 643-0742

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Nichola Brooks-Hay

Title

Chief Financial Officer

Phone

(954) 715-2474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687124

Legal name

PROCARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 21, 2021

Last certification

Sep 20, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

7438 Wiles Rd
Coral Springs, FL 33067-2066
HHA Branch

Listed as

Procare Home Health, LLCCCN 687124

Ownership

Proprietary

Certified

Jul 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1013528132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672066",
            "telephone_number": "954-643-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672066",
            "telephone_number": "954-643-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "BROOKS-HAY",
        "authorized_official_first_name": "NICHOLA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-715-2474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.

Verify at the official NPI Registry.