Organization Active NPI

Stat Healthcare Agency Inc

  • Home Health Agency
  • Miami Gardens, FL
National Provider Identifier
1225453590
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994239 Issued in FL
Legal business name
STAT HEALTHCARE AGENCY INC
Practice address
160 NW 176TH St Ste 200-3
Miami Gardens, FL 33169-5023
Phone
(305) 651-6103
Fax
(305) 460-2269
NPI assigned
Feb 24, 2014
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Rochenel Albert
Title
Administrator
Phone
(305) 651-6103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994239 FL Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

160 NW 176TH St Ste 200-3
Miami Gardens, FL 33169-5023

Mailing address

160 NW 176TH St Ste 306
Miami Gardens, FL 33169-5041
Phone (305) 651-6103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191214000458 FL Part A Provider - Home Health Agency 8820421399 Practice locations: Miami Gardens, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225453590. Details of each certification follow.

Home health agency certification: CCN 687240

Legal name
STAT HEALTHCARE AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2022
Last certification
Nov 3, 2022
Organization structure
CorporationProprietary
Incorporated
Apr 9, 2012 in FL
Enrollment address
160 NW 176TH St
Ste 200-3
Miami Gardens, FL 33169-5023
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stat Healthcare Agency IncCCN 687240 · All quality measures
Ownership
-
Certified
Nov 13, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

160 NW 176th St
Ste 200-3
Miami Gardens, FL 33169

160 NW 176th St
Ste 2003
Miami Gardens, FL 33169
Phone (305) 651-6103

160 NW 176th St
Ste 306
Miami Gardens, FL 33169
Phone (305) 651-6103

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
Rochenel Albert Individual 5% Or Greater Direct Ownership Interest Apr 9, 2012 85%
Corporate Director Apr 9, 2012 10%
W-2 Managing Employee Apr 9, 2012 5%
Rose-Manie Baptiste Albert Individual 5% Or Greater Direct Ownership Interest Jul 19, 2019 10%
David Albert Individual 5% Or Greater Direct Ownership Interest Jul 19, 2019 5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1225453590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 306",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695041",
            "telephone_number": "305-651-6103",
            "fax_number": "305-460-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 200-3",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695023",
            "telephone_number": "305-651-6103",
            "fax_number": "305-460-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "ROCHENEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-651-6103"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994239",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.