Active NPI
Care One Home Health, Inc
- Attendant Care Provider
- Miami, FL
National Provider Identifier
1255425195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992102 | FL | |
| In Home Supportive Care Agency | 253Z00000X | |||
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651174101 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Nov 8, 2004 in FL
- Enrollment address
- 1535 SW 87TH Ave
Miami, FL 33174-3312
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Care One Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 3, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1039689 | Care One Home Health Inc | Certificate of waiver | Apr 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Christian Fernandez | Corporate Officer | Feb 10, 2023 | |
| W-2 Managing Employee | Feb 10, 2023 | ||
| T & C Management Group LLC | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.