NPIMap

Organization Active NPI

RGR, LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1215987516
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299992232 Issued in FL
Legal business name
RGR, LLC
Practice address
99 NW 183Rd St
Suite 111
Miami, FL 33169-4502
Phone
(305) 650-9094
Fax
(305) 650-9096
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mr. Gregory George Roy
Title
President
Phone
(305) 650-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299992232 FL Primary

Addresses

Primary practice location

99 NW 183Rd St
Suite 111
Miami, FL 33169-4502

Mailing address

20401 NW 2ND Ave
Suite 208
Miami, FL 33169-2542
Phone (305) 650-9094

Other identifiers 1

IdentifierTypeStateIssuer
651378600MedicaidFL

Other names 1

  • KIDCARE NURSING SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000237 FL Part A Provider - Home Health Agency 1850304395 Practice locations: Hialeah, FL

Home health agency certification: CCN 108387

Legal name
RGR, LLC
Doing business as
KIDCARE NURSING SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2007
Last certification
Dec 21, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 1, 2005 in FL
Enrollment address
6187Nw167Th St H23
Hialeah, FL 33015-4352

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kidcare Nursing ServicesCCN 108387
Ownership
Proprietary
Certified
Jan 23, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

6187 NW 167th St
Ste H23
Miami Gardens, FL 33015
Phone (305) 650-9094

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Gregory Roy Individual 5% Or Greater Direct Ownership Interest Jul 5, 2006 50%
Corporate Officer Aug 1, 2005
Corporate Director Jul 5, 2006
W-2 Managing Employee Jul 5, 2006
Regine Roy Individual 5% Or Greater Direct Ownership Interest Jul 5, 2006 50%
Corporate Director Jul 5, 2006
W-2 Managing Employee Jul 5, 2006
Sandra Cardozo Individual Corporate Director Aug 3, 2005
W-2 Managing Employee Jul 5, 2006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1215987516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 NW 2ND AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692542",
            "telephone_number": "305-650-9094",
            "fax_number": "305-650-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694502",
            "telephone_number": "305-650-9094",
            "fax_number": "305-650-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-650-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651378600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDCARE NURSING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.