Organization Active NPI

Care One Home Health, Inc

  • Attendant Care Provider
  • Miami, FL
National Provider Identifier
1255425195
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
CARE ONE HOME HEALTH, INC
Practice address
1535 SW 87TH Ave
Miami, FL 33174-3312
Phone
(305) 228-0301
Fax
(305) 228-0360
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mr. Cristian Fernandez-Bango
Title
Manager/Cfo
Phone
(305) 228-0301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992102 FL
In Home Supportive Care Agency 253Z00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

1535 SW 87TH Ave
Miami, FL 33174-3312

Mailing address

1535 SW 87TH Ave
Miami, FL 33174-3312
Phone (305) 228-0301

Other identifiers 1

IdentifierTypeStateIssuer
651174101MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518001177 FL Part A Provider - Home Health Agency 8820039993 Practice locations: Miami, FL

Home health agency certification: CCN 108248

Legal name
CARE ONE HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 3, 2006
Last certification
Dec 3, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2004 in FL
Enrollment address
1535 SW 87TH Ave
Miami, FL 33174-3312
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care One Home Health IncCCN 108248
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 3, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical 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
10D1039689Care One Home Health Inc1535 SW 87TH Ave, Miami, FL 33174Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Locations

2721 SW 137th Ave
Ste 104
Miami, FL 33175
Phone (305) 228-0301

1535 SW 87th Ave
Miami, FL 33174
Phone (305) 228-0301

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
Christian Fernandez Individual Corporate OfficerCfo Feb 10, 2023
W-2 Managing EmployeeCfo Feb 10, 2023
T & C Management Group LLC Organization, Miami, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 10, 2023 100%
Operational/Managerial Control Feb 10, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1255425195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743312",
            "telephone_number": "305-228-0301",
            "fax_number": "305-228-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743312",
            "telephone_number": "305-228-0301",
            "fax_number": "305-228-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ONE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-BANGO",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "MANAGER/CFO",
        "authorized_official_telephone_number": "305-228-0301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992102",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651174101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.