Organization Active NPI

Miami Lakes Home Health Care, Inc.

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1083881015
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIAMI LAKES HOME HEALTH CARE, INC.
Practice address
5769 NW 151St St
Miami Lakes, FL 33014-2483
Phone
(305) 512-3388
Fax
(305) 512-3322
NPI assigned
May 8, 2008
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Annette Soler
Title
Administrator
Phone
(305) 299-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5769 NW 151St St
Miami Lakes, FL 33014-2483

Mailing address

5769 NW 151St St
Miami Lakes, FL 33014-2483
Phone (305) 512-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090427000075 FL Part A Provider - Home Health Agency 2163570409 Practice locations: Miami Lakes, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083881015. Details of each certification follow.

Home health agency certification: CCN 109425

Legal name
MIAMI LAKES HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 13, 2009
Last certification
Sep 20, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 24, 2008 in FL
Enrollment address
5769 NW 151St St
Miami Lakes, FL 33014-2483

Care Compare: Home health agency

Medicare Care Compare
Listed as
Miami Lakes Home Health Care IncCCN 109425 · All quality measures
Ownership
Proprietary
Certified
Oct 13, 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

Locations

16969 NW 67th Ave
Ste 207
Miami Gardens, FL 33015
Phone (305) 512-3388

5769 NW 151st St
Miami Lakes, FL 33014
Phone (305) 512-3388

6710 Main St
Ste 236
Miami Lakes, FL 33014
Phone (305) 512-3388

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
Aida M Perez Santamaria Individual Corporate OfficerDon Jul 1, 2019
Corporate DirectorDon Jul 1, 2019
W-2 Managing EmployeeDon Jul 1, 2019
Operational/Managerial ControlDon Jul 1, 2019
Annette Soler Individual 5% Or Greater Direct Ownership Interest Feb 18, 2009 100%
Corporate Officer Mar 24, 2008
W-2 Managing Employee Feb 18, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1083881015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142483",
            "telephone_number": "305-512-3388",
            "fax_number": "305-512-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142483",
            "telephone_number": "305-512-3388",
            "fax_number": "305-512-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "SOLER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-299-1445"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.