Optimal Care Home Health Agency Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMAL CARE HOME HEALTH AGENCY CORP

Practice address

5901 NW 151St St Ste 211
Miami Lakes, FL 33014-2451

Phone

(786) 760-0061

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By 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

Ms. Elianne Suarez

Title

Owner

Phone

(786) 760-0061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083382782. Details of each certification follow.

• CCN 687212 Home health agency · Active · Details

Home health agency certification: CCN 687212

Legal name

OPTIMAL CARE HOME HEALTH AGENCY CORP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 13, 2023

Last certification

Jan 6, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 2, 2021 in FL

Enrollment address

5901 NW 151St St
Ste 211
Miami Lakes, FL 33014-2451

Listed as

Optimal Care Home Health Agency CorpCCN 687212 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Jan 13, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Humberto J Hernandez, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1689647869

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1083382782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 211",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142451",
            "telephone_number": "786-760-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 211",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142451",
            "telephone_number": "786-760-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE HOME HEALTH AGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "ELIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-760-0061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Miami Lakes, FL
• Providers in Miami Lakes, 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 Aug 30, 2021; 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.