Organization Active NPI

Forever Home Health Care, Inc.

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1174764880
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOREVER HOME HEALTH CARE, INC.
Practice address
3900 NW 79TH Ave
Suite 558
Doral, FL 33166-6556
Phone
(305) 482-0171
Fax
(305) 482-0157
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mrs. Maria R Cabanzon, CPC
Title
President
Phone
(305) 482-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3900 NW 79TH Ave
Suite 558
Doral, FL 33166-6556

Mailing address

3900 NW 79TH Ave
Suite 558
Doral, FL 33166-6556
Phone (305) 482-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000561 FL Part A Provider - Home Health Agency 1355496704 Practice locations: Doral, FL

Home health agency certification: CCN 109663

Legal name
FOREVER HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2011
Last certification
Jan 24, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 28, 2009 in FL
Enrollment address
8249 NW 36TH St
Ste 117
Doral, FL 33166-6673

Care Compare: Home health agency

Medicare Care Compare
Listed as
Forever Home Health Care IncCCN 109663 · All quality measures
Ownership
Proprietary
Certified
Apr 1, 2011
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
10D2014303Forever Home Health Care Inc8249 NW 36TH Street Ste 117, Doral, FL 33166Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

8249 NW 36th St
Ste 117
Doral, FL 33166
Phone (305) 482-0171

3900 NW 79th Ave
Ste 558
Doral, FL 33166
Phone (305) 482-0171

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
Maria Cabanzon Individual 5% Or Greater Direct Ownership Interest Jul 17, 2009
W-2 Managing Employee Jul 17, 2009 0.05%
Ana Hernandez Individual W-2 Managing EmployeeDon Mar 15, 2022

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": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1174764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 558",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-482-0171",
            "fax_number": "305-482-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 558",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-482-0171",
            "fax_number": "305-482-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "CABANZON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-482-0171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.