NPIMap

Organization Active NPI

Simply Home Health Care, LLC

  • Home Health Agency
  • Lake Worth, FL
National Provider Identifier
1043809486
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY HOME HEALTH CARE, LLC
Practice address
2311 10TH Ave N Ste 10
Lake Worth, FL 33461-6605
Phone
(561) 839-9243
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Maylee Perez
Title
Administrator, Owner
Phone
(561) 839-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2311 10TH Ave N Ste 10
Lake Worth, FL 33461-6605

Mailing address

2311 10TH Ave N Ste 10
Lake Worth, FL 33461-6605
Phone (561) 839-9243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210430002161 FL Part A Provider - Home Health Agency 0648689760 Practice locations: Lake Worth, FL

Home health agency certification: CCN 687166

Legal name
SIMPLY HOME HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 24, 2022
Last certification
Feb 4, 2022
Organization structure
LLCProprietary
Enrollment address
2311 10TH Ave N
Ste 10
Lake Worth, FL 33461-6605
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Simply Home Health Care LLCCCN 687166
Overall star rating
2.5 of 5
Ownership
-
Certified
Feb 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2217336Simply Home Health Care LLC2311 10TH Ave N - Ste 10, Lake Worth, FL 33461Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

2311 10th Ave N
Ste 10
Lake Worth, FL 33461
Phone (561) 839-9243

Ownership & related parties

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.

NameRoleSinceShare
Herduin Garcia Heal Individual W-2 Managing EmployeeAd; Jun 1, 2025
Maylee Perez Soto Individual 5% Or Greater Direct Ownership InterestMGR, Administrator, Don Oct 20, 2020 50%
Corporate OfficerMGR, Administrator, Don Oct 20, 2020 50%
Corporate DirectorMGR, Administrator, Don Oct 20, 2020 50%
W-2 Managing EmployeeMGR, Administrator, Don Oct 20, 2020 50%
Maria I Chinnici Individual 5% Or Greater Direct Ownership InterestMGR, Alt. Administrator Oct 20, 2020 50%
Corporate OfficerMGR, Alt. Administrator Oct 20, 2020 50%
Corporate DirectorMGR, Alt. Administrator Oct 20, 2020 50%
W-2 Managing EmployeeMGR, Alt. Administrator Oct 20, 2020 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Maylee Perez Soto
    • Nurse Practitioner
    • West Palm Beach, FL
    • NPI 1861069627

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1043809486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N STE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-839-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 10TH AVE N STE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616605",
            "telephone_number": "561-839-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MAYLEE",
        "authorized_official_title_or_position": "ADMINISTRATOR, OWNER",
        "authorized_official_telephone_number": "561-839-9243"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.