Organization Active NPI

L & a Angel Care Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1164034310
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
L & A ANGEL CARE INC
Practice address
14331 SW 120TH St Ste 108
Miami, FL 33186-7298
Phone
(305) 902-4205
Fax
(305) 942-2350
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Lazaro Rodriguez
Title
Administrator
Phone
(305) 902-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14331 SW 120TH St Ste 108
Miami, FL 33186-7298

Mailing address

14331 SW 120TH St Ste 108
Miami, FL 33186-7298
Phone (305) 902-4205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112000269 FL Part A Provider - Home Health Agency 0648683698 Practice locations: Miami, FL

Home health agency certification: CCN 687160

Legal name
L & A ANGEL CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 4, 2022
Last certification
Jan 19, 2022
Organization structure
CorporationProprietary
Incorporated
Jul 23, 2020 in FL
Enrollment address
14331 SW 120TH St
Ste 108
Miami, FL 33186-7298
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
L&a Angel Care IncCCN 687160
Ownership
-
Certified
Feb 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
L a Angel Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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
Lazaro Rodriguez Individual 5% Or Greater Direct Ownership InterestAdministrator, President Jul 23, 2020 50%
Corporate OfficerAdministrator, President Jul 23, 2020 50%
Corporate DirectorAdministrator, President Jul 23, 2020 50%
W-2 Managing EmployeeAdministrator, President Jul 23, 2020 50%
Anibal Fernandez Individual 5% Or Greater Direct Ownership InterestVP, Alt. Administrator Jul 23, 2020 50%
Corporate OfficerVP, Alt. Administrator Jul 23, 2020 50%
Corporate DirectorVP, Alt. Administrator Jul 23, 2020 50%
W-2 Managing EmployeeVP, Alt. Administrator Jul 23, 2020 50%
Rosalba Sierra Individual Corporate DirectorDirector of Nursing Dec 15, 2020
W-2 Managing EmployeeDirector of Nursing Dec 15, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1164034310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 SW 120TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867298",
            "telephone_number": "305-902-4205",
            "fax_number": "305-942-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 SW 120TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867298",
            "telephone_number": "305-902-4205",
            "fax_number": "305-942-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & A ANGEL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-902-4205"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.