NPIMap

Organization Active NPI

Florida Homecare Specialists Minority Corp

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1194282731
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Practice address
13550 Village Park Dr Ste 210
Orlando, FL 32837-7833
Phone
(352) 857-6410
Fax
(407) 378-7222
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mr. Elmer Arcenal
Title
President
Phone
(352) 857-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13550 Village Park Dr Ste 210
Orlando, FL 32837-7833

Mailing address

13550 Village Park Dr Ste 210
Orlando, FL 32837-7833
Phone (352) 857-6410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200622003084 FL Part A Provider - Home Health Agency 2264853969 Practice locations: Orlando, FL

Home health agency certification: CCN 687073

Legal name
FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 6, 2020
Last certification
Oct 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
13550 Village Park Dr
Unit 210
Orlando, FL 32837-7833

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Florida Homecare Specialists Minority CorpCCN 687073 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 6, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
10D2186633Florida Homecare Specialists Minority Corp13550 Village Park Drive Suite 210, Orlando, FL 32837Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Florida Homecare Specialists Minority Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13550 Village Park Dr
Unit 210
Orlando, FL 32837
Phone (352) 857-6410

7130 S Orange Blossom Trl
Ste 126
Orlando, FL 32809
Phone (888) 522-3542

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

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.

NameRoleSinceShare
Arl Corp Organization, St Petersburg, FL Corporation 5% Or Greater Direct Ownership Interest Feb 11, 2019 100%
Minnie Lopez Individual 5% Or Greater Indirect Ownership Interest Feb 11, 2019 33%
Corporate Officer Feb 11, 2019 33%
Jan Lomanta Roflo Individual 5% Or Greater Direct Ownership Interest Jul 1, 2025
Corporate Officer Feb 21, 2019 33%
W-2 Managing Employee Feb 21, 2019 33%
Elmer Arcenal Individual 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Corporate Officer Feb 11, 2019 34%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1194282731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 VILLAGE PARK DR STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377833",
            "telephone_number": "352-857-6410",
            "fax_number": "407-378-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 VILLAGE PARK DR STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377833",
            "telephone_number": "352-857-6410",
            "fax_number": "407-378-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOMECARE SPECIALISTS MINORITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "ARCENAL",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-857-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.