Ennis Healthcare Solutions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENNIS HEALTHCARE SOLUTIONS LLC

Practice address

13012 SW 120TH St
Miami, FL 33186-4526

Phone

(786) 713-0100

Fax

(786) 701-2192

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Vivienne M Williams, RN

Title

Administrator

Phone

(786) 713-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687065

Legal name

ENNIS HEALTHCARE SOLUTIONS LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 19, 2020

Last certification

Nov 19, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 12, 2016 in FL

Enrollment address

13012 SW 120TH St
Ste 7
Miami, FL 33186-4526

Listed as

Ennis Healthcare Solutions LLCCCN 687065

Ownership

Proprietary

Certified

Nov 19, 2020

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 3

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1033665229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13012 SW 120TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864526",
            "telephone_number": "786-713-0100",
            "fax_number": "786-701-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 SW 120TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864526",
            "telephone_number": "786-713-0100",
            "fax_number": "786-701-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-713-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "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 2, 2026; 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.