Home Bound Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA21994096 Issued in FL

Legal business name

HOME BOUND CARE, INC.

Practice address

340 NW 183Rd St
Miami, FL 33169-4464

Phone

(305) 652-3100

Fax

(305) 652-1290

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen Evanina, CRNPNPI 1427024710

Title

Ceo

Phone

(570) 233-0602

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 107761

Legal name

HOME BOUND CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2003

Last certification

Mar 14, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 22, 1995 in FL

Enrollment address

340 NW 183Rd St
Miami Gardens, FL 33169-4464
HHA Branch

Listed as

Home Bound Care IncCCN 107761

Ownership

Proprietary

Certified

Mar 25, 2003

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 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kathleen Evanina, NP

  • Nurse Practitioner
  • Eynon, PA
  • NPI 1427024710

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Evanina, NP

  • Nurse Practitioner
  • Eynon, PA
  • NPI 1427024710
  NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1164584579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694464",
            "telephone_number": "305-652-3100",
            "fax_number": "305-652-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694464",
            "telephone_number": "305-652-3100",
            "fax_number": "305-652-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "EVANINA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-233-0602",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21994096",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Sue Holzman, MASSAGE THERAPIST PE
• Behrang Homayoon, MD
• Home Away Alf LLC
• Home Away From Home
• Home Away From Home Alf
• Home Care 4 U Inc
• Home Care Medical Supplies Inc
• Home Care Systems Inc
• Home Care Unlimited, Inc.
• Home Clinic Labs LLC

• Home Health Agency in Miami, FL
• Providers in Miami, 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 21, 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.

Verify at the official NPI Registry.