Organization Active NPI

Aegis Homecare LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1245800663
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AEGIS HOMECARE LLC
Practice address
8660 W Flagler St Ste 110
Miami, FL 33144-2035
Phone
(786) 558-4067
Fax
(786) 786-9889
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Ms. Anamar Oro Guillen
Title
President
Phone
(789) 558-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8660 W Flagler St Ste 110
Miami, FL 33144-2035

Mailing address

8660 W Flagler St Ste 110
Miami, FL 33144-2035
Phone (786) 558-4067

Other identifiers 2

IdentifierTypeStateIssuer
113493000MedicaidFL
299995386OtherFLHOME HEALTH LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000512 FL Part A Provider - Home Health Agency 7315338720 Practice locations: Miami, FL

Home health agency certification: CCN 687168

Legal name
AEGIS HOMECARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2022
Last certification
Mar 9, 2022
Organization structure
LLCProprietary
Incorporated
Jun 26, 2021 in FL
Enrollment address
8660 W Flagler St
Ste 110
Miami, FL 33144-2035

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aegis Homecare LLCCCN 687168
Overall star rating
1.5 of 5
Ownership
-
Certified
Mar 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2239440Aegis Homecare LLC8660 W Flagler Street Suite 110, Miami, FL 33144Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Yurdanier Rodriguez Individual W-2 Managing EmployeeDon, Alt. Administrator Oct 1, 2021
Anamar Oro Guillen Individual 5% Or Greater Direct Ownership InterestPresident Jun 26, 2021 100%
Corporate OfficerPresident Jun 26, 2021 100%
Corporate DirectorPresident Jun 26, 2021 100%
W-2 Managing EmployeePresident Jun 26, 2021 100%
Operational/Managerial ControlAdministrator Jun 20, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1245800663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442035",
            "telephone_number": "786-558-4067",
            "fax_number": "786-786-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442035",
            "telephone_number": "786-558-4067",
            "fax_number": "786-786-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "ORO GUILLEN",
        "authorized_official_first_name": "ANAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "789-558-4067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113493000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "299995386",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.