Organization Active NPI

Florida Nurses Home Health Agency Inc

  • Home Health Agency
  • Hollywood, FL
National Provider Identifier
1245023555
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA NURSES HOME HEALTH AGENCY INC
Practice address
4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526
Phone
(786) 254-7200
Fax
(786) 558-5395
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Pedro Alonso
Title
President
Phone
(786) 254-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526

Mailing address

4624 Hollywood Blvd Ste 203
Hollywood, FL 33021-6526
Phone (786) 254-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729002848 FL Part A Provider - Home Health Agency 4789763806 Practice locations: Hollywood, FL

Home health agency certification: CCN 687427

Legal name
FLORIDA NURSES HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2025
Last certification
Apr 22, 2025
Organization structure
CorporationProprietary
Enrollment address
4624 Hollywood Blvd
Ste 203
Hollywood, FL 33021-6526
HHA Branch

Other NPIs with the same Medicare PAC ID 2

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

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
10D2331559Florida Nurses Home Health Agency Inc4624 Hollywood Blvd, Suite 203, Hollywood, FL 33021Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Florida Nurses Home Health Agency Inc3 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.

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
Rita Kazieva Individual 5% Or Greater Indirect Ownership InterestVice President Dec 23, 2024 50%
Corporate OfficerDirector of Nursing Dec 23, 2024 50%
Operational/Managerial ControlDirector of Nursing Dec 23, 2024 50%
Best Home Care Holding LLC Organization, North Miami Beach, FL Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 23, 2024 100%
Pedro Alonso Individual 5% Or Greater Indirect Ownership InterestPresident Dec 23, 2024 50%
Corporate DirectorAdministrator Dec 23, 2024 50%
Operational/Managerial ControlAdministrator Dec 23, 2024 50%

Facilities with the same owner 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1245023555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "786-254-7200",
            "fax_number": "786-558-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "786-254-7200",
            "fax_number": "786-558-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA NURSES HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-254-7200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.