Active NPI
Forever Home Health Care, Inc.
- Home Health Agency
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Apr 1, 2011
- 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 |
|---|---|---|---|
| 10D2014303 | Forever Home Health Care Inc | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Cabanzon | 5% Or Greater Direct Ownership Interest | Jul 17, 2009 | |
| W-2 Managing Employee | Jul 17, 2009 | 0.05% | |
| Ana Hernandez | W-2 Managing Employee | Mar 15, 2022 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1518242346
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.