Specialized Nursing Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21087095 Issued in FL

Legal business name

SPECIALIZED NURSING SERVICES INC

Practice address

17011 NE 6TH Ave
North Miami Beach, FL 33162-2408

Phone

(305) 652-2799

Fax

(786) 288-5824

NPI assigned

Sep 29, 2006

Last updated

Feb 27, 2024By 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

Iovanna Lopez IX

Title

Administrator

Phone

(305) 652-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063504520. Details of each certification follow.

• CCN 108152 Home health agency · Active · Details

Home health agency certification: CCN 108152

Legal name

SPECIALIZED NURSING SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 8, 2005

Last certification

Mar 5, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 2, 1990 in FL

Enrollment address

17011Ne6Th Ave
N Miami Beach, FL 33162-2408

Listed as

Specialized Nursing Services IncCCN 108152 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Mar 8, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Affiliated clinicians 3

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

• Judith Bruno, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1205602901

  Home health agency

  Care Compare affiliation
• Evan Clark Grant, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Cutler Bay, FL
  • NPI 1851667802

  Home health agency

  Care Compare affiliation
• Nicole Fox Hanrahan

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
  • NPI 1912296625

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1063504520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622408",
            "telephone_number": "305-652-2799",
            "fax_number": "786-288-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622408",
            "telephone_number": "305-652-2799",
            "fax_number": "786-288-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "IOVANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-652-2799",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21087095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651275500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Miami Open MRI LLC
• Southern Health Care Corporation (Southern Homemaker and Companion Services)
• Southmedic Corp
• Diana Soybelman
• Pamela Denise Spears, PH.D.
• Speech & Occupational Therapy, Inc
• Speech and Language Center of South Florida, LLC
• Tania Sandy Patricia Spence, PMHNP
• Vinodah Sperber, OT
• Spinal Connection Rehab & Wellness Center Inc

• Home Health Agency in North Miami Beach, FL
• Providers in North Miami Beach, 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 27, 2024; 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.