Organization Active NPI

Dynasty Home Health LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1083319461
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DYNASTY HOME HEALTH LLC
Practice address
5406 Hoover Blvd Ste 5
Tampa, FL 33634-5330
Phone
(813) 331-5595
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Jany Mederos Cabrera
Title
Ambr
Phone
(813) 331-5595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5406 Hoover Blvd Ste 5
Tampa, FL 33634-5330

Mailing address

5406 Hoover Blvd Ste 5
Tampa, FL 33634-5330
Phone (813) 331-5595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221003941 FL Part A Provider - Home Health Agency 1456795079 Practice locations: Tampa, FL

Home health agency certification: CCN 687343

Legal name
DYNASTY HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 2024
Last certification
May 24, 2024
Organization structure
LLCProprietary
Incorporated
Mar 8, 2023 in FL
Enrollment address
5406 Hoover Blvd
Ste 5
Tampa, FL 33634-5330
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dynasty Home Health LLCCCN 687343
Ownership
-
Certified
Jun 17, 2024
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
10D2289760Dynasty Home Health LLC5406 Hoover Blvd Ste 5, Tampa, FL 33634Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

5406 Hoover Blvd
Ste 5
Tampa, FL 33634
Phone (813) 331-5595

13542 N Florida Ave
Ste 209C
Tampa, FL 33613
Phone (813) 331-5595

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
RL Dynasty LLC Organization, Tampa, FL LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 31, 2020 100%
Operational/Managerial Control Jul 31, 2020 100%
Cinthya Perez Individual 5% Or Greater Indirect Ownership Interest Apr 30, 2025 50%
Corporate OfficerManager Apr 30, 2025
Jany Mederos Cabrera Individual 5% Or Greater Indirect Ownership Interest Apr 30, 2025 50%
Corporate OfficerManager Apr 30, 2025
W-2 Managing EmployeeAd; Apr 30, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1083319461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-331-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-331-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "MEDEROS CABRERA",
        "authorized_official_first_name": "JANY",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "813-331-5595"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.