NPIMap

Organization Active NPI

Quality Life Care Home Health Inc.

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1144815507
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUALITY LIFE CARE HOME HEALTH INC.
Practice address
2101 Vista Pkwy Ste 115
West Palm Beach, FL 33411-2706
Phone
(561) 635-1197
Fax
(877) 788-0285
NPI assigned
Mar 7, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Aymee Frometa, RN
Title
Administrator, President
Phone
(561) 635-1197

Specialties & licenses 1

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

Addresses

Primary practice location

2101 Vista Pkwy Ste 115
West Palm Beach, FL 33411-2706

Mailing address

2101 Vista Pkwy Ste 275
West Palm Beach, FL 33411-2706
Phone (561) 635-1197

Other identifiers 1

IdentifierTypeStateIssuer
299995321OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013000994 FL Part A Provider - Home Health Agency 0345648861 Practice locations: West Palm Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144815507. Details of each certification follow.

Home health agency certification: CCN 687169

Legal name
QUALITY LIFE CARE HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 16, 2022
Last certification
Jan 28, 2022
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2020 in FL
Enrollment address
2101 Vista Pkwy
Ste 115
West Palm Beach, FL 33411-2706
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Life Care Home Health IncCCN 687169 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Feb 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2227711Quality Life Care Home Health Inc2101 Vista Pkwy, Ste 115, West Palm Beach, FL 33411Certificate of waiverJun 15, 2027

National Provider Directory

National Provider Directory

Locations

2101 Vista Pkwy
Ste 115
West Palm Beach, FL 33411
Phone (561) 635-1197

2101 Vista Pkwy
Ste 275
West Palm Beach, FL 33411
Phone (561) 635-1197

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
Aymee Frometa Individual 5% Or Greater Direct Ownership InterestPresident, Administrator Jul 9, 2021 50%
Corporate OfficerPresident, Administrator Jul 9, 2021 50%
Corporate DirectorPresident, Administrator Jul 9, 2021 50%
W-2 Managing EmployeePresident, Administrator Jul 9, 2021 50%
Ania Perez Individual 5% Or Greater Direct Ownership InterestVP, Alt. Administrator, Don Jul 9, 2021 50%
Corporate OfficerVP, Alt. Administrator, Don Jul 9, 2021 50%
Corporate DirectorVP, Alt. Administrator, Don Jul 9, 2021 50%
W-2 Managing EmployeeVP, Alt. Administrator, Don Jul 9, 2021 50%

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": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1144815507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 275",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-635-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-635-1197",
            "fax_number": "877-788-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE CARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "FROMETA",
        "authorized_official_first_name": "AYMEE",
        "authorized_official_title_or_position": "ADMINISTRATOR, PRESIDENT",
        "authorized_official_telephone_number": "561-635-1197",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "299995321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.