Organization Active NPI

Neimas Home Health Care Agency Corp

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1114503810
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEIMAS HOME HEALTH CARE AGENCY CORP
Practice address
2441 NW 93Rd Ave Ste 102
Doral, FL 33172-4800
Phone
(305) 613-0754
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Mrs. Irelys Hernandez
Title
President/Cfo
Phone
(305) 613-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2441 NW 93Rd Ave Ste 102
Doral, FL 33172-4800

Mailing address

2441 NW 93Rd Ave Ste 102
Doral, FL 33172-4800
Phone (305) 613-0754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211222001739 FL Part A Provider - Home Health Agency 8921499187 Practice locations: Doral, FL

Home health agency certification: CCN 687193

Legal name
NEIMAS HOME HEALTH CARE AGENCY CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2022
Last certification
Jun 16, 2022
Organization structure
CorporationProprietary
Incorporated
Feb 26, 2021 in FL
Enrollment address
2441 NW 93Rd Ave
Ste 102
Doral, FL 33172-4800

Care Compare: Home health agency

Medicare Care Compare
Listed as
Neimas Home Health Care Agency CorpCCN 687193
Ownership
-
Certified
Jun 30, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Irelys Hernandez Individual 5% Or Greater Direct Ownership Interest Aug 25, 2021 50%
Corporate Officer Aug 25, 2021
Corporate Director Aug 25, 2021
W-2 Managing Employee Aug 25, 2021
Operational/Managerial Control Aug 25, 2021
Csar Di Renzo Individual 5% Or Greater Direct Ownership Interest Aug 25, 2021 25%
W-2 Managing Employee Aug 25, 2021
Operational/Managerial Control Aug 25, 2021
Osmani Hernandez Individual 5% Or Greater Direct Ownership Interest Aug 25, 2021 25%
W-2 Managing Employee Aug 25, 2021
Operational/Managerial Control Aug 25, 2021

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1114503810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 NW 93RD AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724800",
            "telephone_number": "305-613-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NW 93RD AVE STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331724800",
            "telephone_number": "305-613-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIMAS HOME HEALTH CARE AGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "IRELYS",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "305-613-0754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.