Virgin Health Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992258 Issued in FL

Legal business name

VIRGIN HEALTH CORPORATION

Practice address

5735 NW 84TH Ave # 101
Doral, FL 33166-3310

Phone

(305) 818-1710

Fax

(833) 630-9883

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fernando V De la Cruz Jr.

Title

Ceo

Phone

(305) 818-1710

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108302

Legal name

VIRGIN HEALTH CORPORATION

Doing business as

VIRGIN HOME HEALTH CORPORATION

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 24, 2006

Last certification

Jun 26, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 20, 2005 in FL

Enrollment address

5735 NW 84TH Ave
Ste 100
Doral, FL 33166

Listed as

Virgin Health Corporation IncCCN 108302 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 24, 2006

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 4

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dunia Fernandez Montero

  • Gerontology Nurse Practitioner
  • Miami Beach, FL
  • NPI 1326449414

  Home health agency

  Care Compare affiliation
• Pollyanna Reeves, DPM

  • Foot & Ankle Surgery Podiatrist
  • South Miami, FL
  • NPI 1881089985

  Home health agency

  Care Compare affiliation
• Jacobo Wajner, M.D.

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1881918449

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1184715682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 NW 84TH AVE STE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331663310",
            "telephone_number": "305-818-1710",
            "fax_number": "833-630-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 NW 84TH AVE # 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331663310",
            "telephone_number": "305-818-1710",
            "fax_number": "833-630-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ JR.",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-818-1710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651308500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Sandra Villavicencio Nunez
• Jesus Viloria, M.D.
• Vimani LLC (Dr. GoodPrice)
• Emily Vincze
• Violet Health Corp
• Vision Care Mobile Services LLC
• Vision VA Optical LLC
• Visiting Nurse Managed Care Corporation
• Vista Behavior Services LLC
• Vital Senior Center LLC

• Home Health Agency in Doral, FL
• Providers in Doral, 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 Nov 1, 2024; 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.