Organization Active NPI

Healthcare Home Solutions LLC

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1245847441
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHCARE HOME SOLUTIONS LLC
Practice address
15450 New Barn Rd Ste 303
Miami Lakes, FL 33014-2169
Phone
(786) 483-8289
Fax
(305) 675-3886
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Gustavo GuerraNPI 1699004739
Title
President, Administrator
Phone
(786) 483-8289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15450 New Barn Rd Ste 303
Miami Lakes, FL 33014-2169

Mailing address

1840 W 49TH St Ste 603
Hialeah, FL 33012-2887
Phone (786) 483-8289

Other identifiers 1

IdentifierTypeStateIssuer
299995249OtherFLLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211115000335 FL Part A Provider - Home Health Agency 4385033323 Practice locations: Miami Lakes, FL

Home health agency certification: CCN 687189

Legal name
HEALTHCARE HOME SOLUTIONS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 2022
Last certification
Jun 9, 2022
Organization structure
LLCProprietary
Incorporated
Jan 1, 2019 in FL
Enrollment address
15450 New Barn Rd
Ste 303
Miami Lakes, FL 33014-2169
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthcare Home Solutions, LLCCCN 687189
Ownership
-
Certified
Jun 28, 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
10D2216439Healthcare Home Solutions LLC15450 New Barn Road Suite 303, Miami Lakes, FL 33014Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

15450 New Barn Rd
Ste 303
Miami Lakes, FL 33014
Phone (786) 483-8289

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
Gustavo Guerra Individual 5% Or Greater Direct Ownership InterestAdministrator Jan 1, 2019 50%
Corporate OfficerAdministrator Mar 26, 2021 50%
Corporate DirectorAdministrator Mar 29, 2021 50%
W-2 Managing EmployeeAdministrator Mar 29, 2021 50%
Janet Guerra Individual 5% Or Greater Direct Ownership InterestAlt. Administrator Jan 1, 2019 50%
Corporate OfficerAlt. Administrator Mar 29, 2021 50%
Corporate DirectorAlt. Administrator Mar 29, 2021 50%
W-2 Managing EmployeeAlt. Administrator Mar 29, 2021 50%
Odelis Alvarez Individual Corporate DirectorDirector of Nursing Mar 29, 2021
W-2 Managing EmployeeDirector of Nursing Mar 29, 2021

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1245847441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 603",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122887",
            "telephone_number": "786-483-8289",
            "fax_number": "305-675-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NEW BARN RD STE 303",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142169",
            "telephone_number": "786-483-8289",
            "fax_number": "305-675-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE HOME SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT, ADMINISTRATOR",
        "authorized_official_telephone_number": "786-483-8289"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "299995249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.