Alborada Home Health of Tampa, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALBORADA HOME HEALTH OF TAMPA, INC

Doing business as

Southeast Homecare

Practice address

3710 Corporex Park Dr Ste 100
Tampa, FL 33619-1160

Phone

(813) 452-6155

Fax

(813) 452-6156

NPI assigned

Sep 17, 2012

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Pereda

Title

Ceo

Phone

(954) 381-7951

Specialties & licenses 1

Addresses

Other names 1

• Southeast Homecare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033469168. Details of each certification follow.

• CCN 683159 Home health agency · Active · Details

Home health agency certification: CCN 683159

Legal name

ALBORADA HOME HEALTH OF TAMPA INC

Doing business as

SOUTHEAST HOMECARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 11, 2014

Last certification

Jul 23, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 18, 2012 in FL

Enrollment address

3710 Corporex Park Dr
Ste 100
Tampa, FL 33619-1160

Listed as

Southeast HomecareCCN 683159 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Jul 11, 2014

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

Tax ID family

Alborada Home Health of Tampa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alborada Home Health of Tampa, Inc

  dba Southeast Homecare

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1376724146
  NPD tax ID

Locations

All disclosed owners & managing parties 14

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alborada Home Health of Tampa, Inc

  dba Southeast Homecare

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1376724146

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Parent LLC, Integrated Home Care Investors Inc., Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Infinity Home Health Care of Florida Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1790197705

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Integrated Home Care Investors Inc., Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Southeast Homecare LLC

  dba Southeast Homecare

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1003041823

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Southeast Homecare LLC

  dba Southeast Homecare

  • Home Health Agency
  • Doral, FL
  • NPI 1568697381

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Metro, LLC.

  • Home Health Agency
  • San Juan, PR
  • NPI 1811370562

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Norte, LLC

  • Home Health Agency
  • Hatillo, PR
  • NPI 1215486964

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Oeste, LLC.

  • Home Health Agency
  • Mayaguez, PR
  • NPI 1568864940

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Sur, LLC.

  • Home Health Agency
  • Ponce, PR
  • NPI 1770907818

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Nueva Vida de la Salud Home Care Corp

  • Home Health Agency
  • Bayamon, PR
  • NPI 1902167703

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1033469168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CORPOREX PARK DR STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191160",
            "telephone_number": "813-452-6155",
            "fax_number": "813-452-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CORPOREX PARK DR STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191160",
            "telephone_number": "813-452-6155",
            "fax_number": "813-452-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBORADA HOME HEALTH OF TAMPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "PEREDA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-381-7951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alborada Assisted Living Facility
• Alborada Home Health of Tampa, Inc
• Kristin M Albrecht, APRN, FNP-C
• Abigail Lizabeth Albright, RD
• Ashlea Marie Albright
• Heather Albright, PHYSICIAN ASSISTANT

• Home Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.