Organization Active NPI

Maranatha Home Health, Inc

  • Home Health Agency
  • Brandon, FL
National Provider Identifier
1255742672
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARANATHA HOME HEALTH, INC
Practice address
134 N Moon Ave
Brandon, FL 33510-4420
Phone
(813) 482-9807
Fax
(813) 445-4305
NPI assigned
May 20, 2014
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Ms. Maria D Sanchez
Title
Owner
Phone
(813) 482-9807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

134 N Moon Ave
Brandon, FL 33510-4420

Mailing address

134 N Moon Ave
Brandon, FL 33510-4420
Phone (813) 482-9807

Other identifiers 2

IdentifierTypeStateIssuer
111945000MedicaidFL
299994282OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140918002614 FL Part A Provider - Home Health Agency 8527239821 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255742672. Details of each certification follow.

Home health agency certification: CCN 683168

Legal name
MARANATHA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2015
Last certification
Feb 6, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 26, 2014 in FL
Enrollment address
9280 Bay Plaza Bivd
Suite 717
Tampa, FL 33619
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Maranatha Home Health IncCCN 683168 · All quality measures
Ownership
Proprietary
Certified
Feb 6, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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
10D2087630Maranatha Home Health Inc9280 Bay Plaza Blvd - Ste 717, Tampa, FL 33619Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Maranatha Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 N Moon Ave
Brandon, FL 33510
Phone (813) 684-1648

1936 W Mlk Blvd
Ste 202
Tampa, FL 33607
Phone (813) 408-8563

9280 Bay Plaza Blvd
Ste 717
Tampa, FL 33619
Phone (813) 482-9807

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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
Damarys Gomez Individual 5% Or Greater Direct Ownership Interest Feb 26, 2014 50%
W-2 Managing EmployeeCfo Feb 26, 2014 50%
Maria D Sanchez Individual 5% Or Greater Direct Ownership Interest Feb 26, 2014 50%
Corporate OfficerOwner Feb 26, 2014 50%
Corporate DirectorOwner Feb 24, 2014 50%
W-2 Managing EmployeeOwner Feb 26, 2014 50%
Operational/Managerial ControlOwner Feb 26, 2014 50%
Maranatha Home Health Inc Organization, Tampa, FL For-profit 5% Or Greater Direct Ownership Interest Feb 26, 2014

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1255742672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104420",
            "telephone_number": "813-482-9807",
            "fax_number": "813-445-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104420",
            "telephone_number": "813-482-9807",
            "fax_number": "813-445-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-482-9807",
        "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": "111945000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "299994282",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.