Organization Active NPI

Nursing Care Services, Inc.

  • Home Health Agency
  • Greenacres, FL
National Provider Identifier
1083867030
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993339 Issued in FL
Legal business name
NURSING CARE SERVICES, INC.
Practice address
5700 Lake Worth Rd
Ste. 306
Greenacres, FL 33463-4727
Phone
(561) 433-1991
Fax
(561) 433-1998
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Simon R. Fernandez
Title
Ceo
Phone
(561) 433-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993339 FL Primary

Addresses

Primary practice location

5700 Lake Worth Rd
Ste. 306
Greenacres, FL 33463-4727

Mailing address

5700 Lake Worth Rd
Ste. 306
Greenacres, FL 33463-4727
Phone (561) 433-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000359 FL Part A Provider - Home Health Agency 9739243510 Practice locations: Greenacres, FL

Home health agency certification: CCN 109412

Legal name
NURSING CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 2009
Last certification
Jul 29, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
5350 10TH Ave N
Ste 8B
Greenacres, FL 33463

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nursing Care Services, IncCCN 109412
Ownership
Proprietary
Certified
Aug 25, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Nursing Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5350 10th Ave N
Ste 8B
Greenacres, FL 33463
Phone (561) 433-1991

5700 Lake Worth Rd
Ste 306
Greenacres, FL 33463
Phone (561) 433-1991

5350 10th Ave N
Ste 8
Greenacres, FL 33463
Phone (561) 433-1991

7328 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 433-1991

Ownership & related parties

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.

NameRoleSinceShare
TMC Healthcare Holdings LLC Organization, Greenacres, FL LLC, Holding company 5% Or Greater Direct Ownership Interest Feb 14, 2020 100%
Anthony Pastor Individual 5% Or Greater Indirect Ownership InterestPresident Feb 14, 2020 100%
Corporate OfficerPresident Feb 14, 2020 100%
Corporate DirectorPresident Feb 14, 2020 100%
W-2 Managing EmployeeFinancial Officer Feb 14, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1083867030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE. 306",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-433-1991",
            "fax_number": "561-433-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE. 306",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-433-1991",
            "fax_number": "561-433-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-433-1991"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.