Organization Active NPI

Alliance Home Health of Broward, Inc.

  • Home Health Agency
  • Davie, FL
National Provider Identifier
1154442069
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992714 Issued in FL
Legal business name
ALLIANCE HOME HEALTH OF BROWARD, INC.
Practice address
5240 South University Drive Suite 105-E
Davie, FL 33328-5308
Phone
(954) 880-0551
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mrs. Hilda Hanst
Title
Administrator
Phone
(954) 880-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992714 FL Primary

Addresses

Primary practice location

5240 South University Drive Suite 105-E
Davie, FL 33328-5308

Mailing address

5240 S University Dr Ste 105E
Davie, FL 33328-5320
Phone (954) 880-0551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000557 FL Part A Provider - Home Health Agency 5496849747 Practice locations: Davie, FL

Home health agency certification: CCN 109138

Legal name
ALLIANCE HOME HEALTH OF BROWARD, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 9, 2009
Last certification
Feb 26, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 5, 2006 in FL
Enrollment address
5240 S University Dr
Ste 105E
Davie, FL 33328-5320

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alliance Home Health of Broward, Inc.CCN 109138
Ownership
Proprietary
Certified
Jan 9, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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
10D1067333Alliance Home Health of Broward Inc5240 S University Dr Unit 105E, Davie, FL 33328Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

5240 S University Dr
Ste 105E
Davie, FL 33328
Phone (954) 880-0551

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
Alliance Home Health Inc Organization, Miami, FL Corporation 5% Or Greater Direct Ownership Interest Oct 5, 2006 100%
Hilda Hunst Individual 5% Or Greater Indirect Ownership Interest Oct 23, 2006 50%
Corporate Officer Oct 23, 2006 50%
Corporate Director Oct 23, 2016 50%
W-2 Managing Employee Oct 23, 2006 50%
George Forns Individual 5% Or Greater Indirect Ownership Interest Oct 23, 2006 50%
Corporate Officer Oct 5, 2006
Corporate Director Oct 23, 2006 50%
W-2 Managing Employee Oct 23, 2006 50%

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1154442069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 S UNIVERSITY DR STE 105E",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285320",
            "telephone_number": "954-880-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 SOUTH UNIVERSITY DRIVE SUITE 105-E",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285308",
            "telephone_number": "954-880-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME HEALTH OF BROWARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "HANST",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-880-0551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.