Active NPI
Alliance Home Health of Broward, Inc.
- Home Health Agency
- Davie, FL
National Provider Identifier
1154442069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992714
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- Proprietary
- Certified
- Jan 9, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1067333 | Alliance Home Health of Broward Inc | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alliance Home Health Inc | 5% Or Greater Direct Ownership Interest | Oct 5, 2006 | 100% |
| Hilda Hunst | 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 | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.