Master Home Health Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MASTER HOME HEALTH CARE, LLC.

Doing business as

Independence Home Health of Broward County, LLC.

Practice address

2200 W Commercial Blvd Ste 301
Ft Lauderdale, FL 33309-3064

Phone

(954) 746-4264

Fax

(954) 616-8522

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vahan H. Gureghian

Title

MBR

Phone

(954) 746-4264

Specialties & licenses 1

Addresses

Other names 1

• INDEPENDENCE HOME HEALTH OF BROWARD COUNTY, LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134375355. Details of each certification follow.

• CCN 109602 Home health agency · Active · Details

Home health agency certification: CCN 109602

Legal name

MASTER HOME HEALTH CARE, LLC.

Doing business as

INDEPENDENCE HOME HEALTH OF BROWARD COUNTY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 8, 2010

Last certification

Jan 8, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2008 in FL

Enrollment address

2200 W Commercial Blvd
Ste 301
Ft Lauderdale, FL 33309-3064

Listed as

Independence Home Health of Broward CountyCCN 109602 · All quality measures

Ownership

Proprietary

Certified

Oct 8, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1134375355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W COMMERCIAL BLVD STE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093064",
            "telephone_number": "954-746-4264",
            "fax_number": "954-616-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W COMMERCIAL BLVD STE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093064",
            "telephone_number": "954-746-4264",
            "fax_number": "954-616-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER HOME HEALTH CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GUREGHIAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "954-746-4264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDEPENDENCE HOME HEALTH OF BROWARD COUNTY, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.