Organization Active NPI

Preferred Care Home Health Services, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1225107253
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992075 Issued in FL
Legal business name
PREFERRED CARE HOME HEALTH SERVICES, INC.
Practice address
13000 SW 72ND Street.
Building 100 Suite 145
Miami, FL 33143
Phone
(305) 275-7573
Fax
(305) 275-7058
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Ms. Vivian C Melley, R.N.
Title
Owner
Phone
(305) 275-7573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992075 FL Primary

Addresses

Primary practice location

13000 SW 72ND Street.
Building 100 Suite 145
Miami, FL 33143

Mailing address

13000 SW 72ND Street.
Building 100 Suite 145
Miami, FL 33143
Phone (305) 275-7573

Other identifiers 1

IdentifierTypeStateIssuer
651161900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050505000510 FL Part A Provider - Home Health Agency 8022058486 Practice locations: Miami, FL

Home health agency certification: CCN 108202

Legal name
PREFERRED CARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 24, 2005
Last certification
Jan 16, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 3, 2004 in FL
Enrollment address
10300 SW 72ND St
BLD 100, Ste 145
Miami, FL 33173-3038
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Preferred Care Home Health ServicesCCN 108202 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 24, 2005
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
10D1029120Preferred Care Home Health Services Inc10300 SW 72ND St BLDG 100 Ste 145, Miami, FL 33173Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

10300 SW 72nd St
Ste 145
Miami, FL 33173
Phone (305) 275-7573

9415 Sunset Dr
Ste 252
Miami, FL 33173
Phone (305) 275-7573

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
Lauren Hurtado Individual Corporate OfficerAdministrator Nov 26, 2019
W-2 Managing EmployeeAdministrator Nov 26, 2019
John Melley Individual W-2 Managing Employee Feb 2, 2012
Vivian Melley Individual 5% Or Greater Direct Ownership Interest May 3, 2004
Corporate Officer May 3, 2004
Corporate Director May 5, 2005
W-2 Managing Employee May 3, 2004
Operational/Managerial ControlCeo / Pres May 3, 2004

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1225107253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 SW 72ND STREET.",
            "address_2": "BUILDING 100 SUITE 145",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-275-7573",
            "fax_number": "305-275-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SW 72ND STREET.",
            "address_2": "BUILDING 100 SUITE 145",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-275-7573",
            "fax_number": "305-275-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "MELLEY",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-275-7573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651161900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.