Active NPI
Trusted Home Care Agency, LLC
- Home Health Agency
- Boca Raton, FL
National Provider Identifier
1275187015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRUSTED HOME CARE AGENCY, LLC
- Practice address
- 6971 N Federal Hwy Ste 100
Boca Raton, FL 33487-1648 - Phone
- (617) 706-0305
- Fax
- (561) 926-9473
- NPI assigned
- Jul 30, 2019
- 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. Bryan Plonsky
- Title
- Cfo
- Phone
- (561) 998-6039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6971 N Federal Hwy Ste 100
Boca Raton, FL 33487-1648
Mailing address
6971 N Federal Hwy Ste 100
Boca Raton, FL 33487-1648
Phone (561) 770-6030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191009002145 | FL | Part A Provider - Home Health Agency | 6608107420 | Practice locations: Boca Raton, FL |
Home health agency certification: CCN 687246
- Legal name
- TRUSTED HOME CARE AGENCY LLC
- Doing business as
- TRUSTED HOME CARE AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 7, 2023
- Last certification
- Apr 7, 2023
- Organization structure
- LLC
- Incorporated
- Mar 1, 2019 in FL
- Enrollment address
- 6971 N Federal Hwy
Ste 100
Boca Raton, FL 33487-1648
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Trusted Home Care Agency
- Ownership
- -
- Certified
- Apr 7, 2023
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2265300 | Trusted Home Care Agency LLC | Certificate of waiver | Jul 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
6971 N Federal Hwy
Ste 100
Boca Raton, FL 33487
Phone (561) 770-6030
1615 S Congress Ave
Ste 148
Delray Beach, FL 33445
Phone (561) 289-1447
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kerry Gede | Operational/Managerial Control | Mar 1, 2019 | |
| Bryan Plonsky | 5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 50% |
| Corporate Officer | Mar 1, 2019 | 50% | |
| Corporate Director | Mar 1, 2019 | 50% | |
| W-2 Managing Employee | Mar 1, 2019 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 | ||
| Stephen Wolfe | 5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 50% |
| Corporate Officer | Mar 1, 2019 | 50% | |
| Corporate Director | Mar 1, 2019 | 50% | |
| Operational/Managerial Control | Mar 1, 2019 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1275187015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6971 N FEDERAL HWY STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871648",
"telephone_number": "561-770-6030",
"fax_number": "561-939-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6971 N FEDERAL HWY STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871648",
"telephone_number": "617-706-0305",
"fax_number": "561-926-9473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTED HOME CARE AGENCY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-30",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "PLONSKY",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-998-6039",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.