Organization Active NPI

Priority Home Health, Inc

  • Home Health Agency
  • Greenacres, FL
National Provider Identifier
1275149528
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIORITY HOME HEALTH, INC
Doing business as
Priority Home Health, INC
Practice address
5700 Lake Worth Rd Ste 209-4
Greenacres, FL 33463-3270
Phone
(754) 244-3486
NPI assigned
Sep 22, 2020
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Shanika DuliepeNPI 1881222560
Title
Owner
Phone
(754) 244-3486

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 NU Primary

Addresses

Primary practice location

5700 Lake Worth Rd Ste 209-4
Greenacres, FL 33463-3270

Mailing address

5700 Lake Worth Rd Ste 209-4
Greenacres, FL 33463-3270
Phone (754) 244-3486

Other names 1

  • Priority Home Health, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825003720 FL Part A Provider - Home Health Agency 1759765647 Practice locations: Greenacres, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275149528. Details of each certification follow.

Home health agency certification: CCN 687204

Legal name
PRIORITY HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 18, 2022
Last certification
Oct 7, 2022
Organization structure
CorporationProprietary
Incorporated
May 7, 2020 in FL
Enrollment address
5700 Lake Worth Rd
Ste 209-4
Greenacres, FL 33463-3270

Care Compare: Home health agency

Medicare Care Compare
Listed as
Priority Home Health IncCCN 687204 · All quality measures
Ownership
-
Certified
Oct 18, 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
10D2253618Priority Home Health Inc5700 Lake Worth Rd, Suite #209-4, Greenacres, FL 33463Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

1530 W Boynton Beach Blvd
Unit 3261
Boynton Beach, FL 33424

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
Gladimy Duliepe Individual 5% Or Greater Direct Ownership Interest May 7, 2020 50%
Corporate OfficerPresident Alt Admin Alt Don May 7, 2020 50%
W-2 Managing EmployeePresident Alt Admin Alt Don May 7, 2020 50%
Shanika Nicole Duliepe Individual 5% Or Greater Direct Ownership Interest May 7, 2020 50%
Corporate OfficerVP Admin Don May 7, 2020 50%
W-2 Managing EmployeeVP Admin Don May 7, 2020 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1275149528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 209-4",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633270",
            "telephone_number": "754-244-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 209-4",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633270",
            "telephone_number": "754-244-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "DULIEPE",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-244-3486"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Home Health, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Priority Home Health, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.