Organization Active NPI

Trusted Home Care Agency, LLC

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1275187015
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 23, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 AgencyCCN 687246 · All quality measures
Ownership
-
Certified
Apr 7, 2023
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
10D2265300Trusted Home Care Agency LLC6971 North Federal Highway Suite 100, Boca Raton, FL 33487Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kerry Gede Individual Operational/Managerial ControlAdministrator Mar 1, 2019
Bryan Plonsky Individual 5% Or Greater Direct Ownership Interest Mar 1, 2019 50%
Corporate OfficerChief Financial Officer, Vice PR Mar 1, 2019 50%
Corporate DirectorManager Mar 1, 2019 50%
W-2 Managing EmployeeChief Financial Officer Mar 1, 2019 50%
Operational/Managerial ControlChief Financial Officer, Vice PR Mar 1, 2019
Stephen Wolfe Individual 5% Or Greater Direct Ownership Interest Mar 1, 2019 50%
Corporate OfficerChief Executive Officer, Preside Mar 1, 2019 50%
Corporate DirectorManager Mar 1, 2019 50%
Operational/Managerial ControlManager, Ceo, President, Alterna 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

Verify at the official NPI Registry.