Active NPI
Dynasty Home Health LLC
- Home Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Mar 8, 2023 in FL
- Enrollment address
- 5406 Hoover Blvd
Ste 5
Tampa, FL 33634-5330
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Dynasty Home Health LLC
- Ownership
- -
- Certified
- Jun 17, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2289760 | Dynasty Home Health LLC | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| RL Dynasty LLC | 5% Or Greater Direct Ownership Interest | Jul 31, 2020 | 100% |
| Operational/Managerial Control | Jul 31, 2020 | 100% | |
| Cinthya Perez | 5% Or Greater Indirect Ownership Interest | Apr 30, 2025 | 50% |
| Corporate Officer | Apr 30, 2025 | ||
| Jany Mederos Cabrera | 5% Or Greater Indirect Ownership Interest | Apr 30, 2025 | 50% |
| Corporate Officer | Apr 30, 2025 | ||
| W-2 Managing Employee | Apr 30, 2025 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Wesley Chapel, FL
- NPI 1851860670
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.