NPIMap

Organization Active NPI

Integral Home Health Agency, Inc.

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1124092861
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991992 Issued in FL
Legal business name
INTEGRAL HOME HEALTH AGENCY, INC.
Practice address
6001 NW 153Rd St Ste 141
Miami Lakes, FL 33014-2475
Phone
(305) 884-3582
Fax
(305) 884-3591
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Juan J Casadevalle
Title
Administrator
Phone
(305) 206-1483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991992 FL Primary

Addresses

Primary practice location

6001 NW 153Rd St Ste 141
Miami Lakes, FL 33014-2475

Mailing address

6001 NW 153Rd St Ste 141
Miami Lakes, FL 33014-2475
Phone (305) 884-3582

Other identifiers 1

IdentifierTypeStateIssuer
651110400MedicaidFL

Other names 2

  • INTEGRAL HOME HEALTH Doing business as
  • Integral Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060112000177 FL Part A Provider - Home Health Agency 8820011133 Practice locations: Miami Lakes, FL

Home health agency certification: CCN 108348

Legal name
INTEGRAL HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 2006
Last certification
Apr 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 21, 2003 in FL
Enrollment address
6001 NW 153Rd St
Ste 141
Miami Lakes, FL 33014-2475

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integral Home Health Agency, Inc.CCN 108348
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 1, 2006
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

6001 NW 153rd St
Ste 141
Miami Lakes, FL 33014
Phone (305) 884-3582

4471 NW 36th St
Ste 218
Miami Springs, FL 33166
Phone (305) 884-3582

Ownership & related parties

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.

NameRoleSinceShare
Juan Casadevalle Individual 5% Or Greater Direct Ownership Interest100 Oct 21, 2003
Corporate OfficerPresident, Secretary Oct 21, 2003
Corporate DirectorDirector Jan 12, 2006
W-2 Managing EmployeeDirector, President, Secretary Oct 21, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1124092861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 141",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142475",
            "telephone_number": "305-884-3582",
            "fax_number": "305-884-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 141",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142475",
            "telephone_number": "305-884-3582",
            "fax_number": "305-884-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "CASADEVALLE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-206-1483"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651110400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRAL HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integral Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.