Mother Maria Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOTHER MARIA HOME HEALTH CARE INC

Practice address

2719 Hollywood Blvd Ste 27
Hollywood, FL 33020-4821

Phone

(954) 842-0432

Fax

(954) 866-7107

NPI assigned

Nov 4, 2021

Last updated

Oct 7, 2025By 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

Amparo M Dierking

Title

Owner

Phone

(754) 217-4629

Specialties & licenses 1

Addresses

Other names 1

• Mother Maria Home Health Care INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043975089. Details of each certification follow.

• CCN 687301 Home health agency · Active · Details

Home health agency certification: CCN 687301

Legal name

MOTHER MARIA HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 23, 2024

Last certification

Dec 29, 2023

Organization structure

CorporationProprietary

Incorporated

Apr 19, 2021 in FL

Enrollment address

2719 Hollywood Blvd
PMB 27
Hollywood, FL 33020-4821
HHA Branch

Listed as

Mother Maria Home Health Care IncCCN 687301 · All quality measures

Overall star rating

1 of 5

Ownership

-

Certified

Jan 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Affiliated clinicians 3

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

• David L Andrisani, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1811920895

  Home health agency

  Care Compare affiliation
• Biju Antony, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lauderdale Lakes, FL
  • NPI 1912582008

  Home health agency

  Care Compare affiliation
• Judith Bruno, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1205602901

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1043975089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD STE 27",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "954-842-0432",
            "fax_number": "954-866-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD STE 27",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "954-842-0432",
            "fax_number": "954-866-7107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Pine Island Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243918",
            "country_code": "US",
            "telephone_number": "954-274-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTHER MARIA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "DIERKING",
        "authorized_official_first_name": "AMPARO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-217-4629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother Maria Home Health Care INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mother Maria Home Health Care INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Charity Mowery, APRN

• Home Health Agency in Hollywood, FL
• Providers in Hollywood, 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 Oct 7, 2025; 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.