NPIMap

Organization Active NPI

Lovely Home Health Care Inc

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1114485232
Registry record updated Sep 28, 2021
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOVELY HOME HEALTH CARE INC
Practice address
18191 NW 68TH Ave Ste 217
Hialeah, FL 33015-3998
Phone
(786) 686-5540
Fax
(786) 686-5541
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Blanca M Portillo
Title
President
Phone
(786) 686-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18191 NW 68TH Ave Ste 217
Hialeah, FL 33015-3998

Mailing address

18191 NW 68TH Ave Ste 217
Hialeah, FL 33015-3998
Phone (786) 686-5540

Other names 1

  • LOVELY HOME HEALTH CARE INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213002392 FL Part A Provider - Home Health Agency 4385070192 Practice locations: Hialeah, FL

Home health agency certification: CCN 687061

Legal name
LOVELY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 2020
Last certification
Oct 22, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 11, 2019 in FL
Enrollment address
18191 NW 68TH Ave
Ste 217
Hialeah, FL 33015-3998

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lovely Home Health Care IncCCN 687061
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 22, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

18191 NW 68th Ave
Ste 217
Miami Gardens, FL 33015
Phone (786) 686-5540

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
Ileana Fernandez Individual W-2 Managing EmployeeDon Jul 30, 2019 100%
Blanca Portillo Individual 5% Or Greater Direct Ownership InterestPresident Feb 11, 2019 100%
Corporate OfficerPresident Feb 11, 2019 100%
W-2 Managing EmployeeAd; Jul 24, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1114485232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 NW 68TH AVE STE 217",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153998",
            "telephone_number": "786-686-5540",
            "fax_number": "786-686-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18191 NW 68TH AVE STE 217",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153998",
            "telephone_number": "786-686-5540",
            "fax_number": "786-686-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-686-5540"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOVELY HOME HEALTH CARE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOVELY HOME HEALTH CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.