Active NPI
Illusion Home Care Inc
- In Home Supportive Care Agency
- Pembroke Pines, FL
National Provider Identifier
1275433039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ILLUSION HOME CARE INC
- Practice address
- 10031 Pines Blvd Ste 241
Pembroke Pines, FL 33024-6180 - Phone
- (754) 207-5033
- Fax
- (954) 481-0588
- NPI assigned
- Nov 6, 2026
- Last updated
- Nov 6, 2026
- 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
- Concepcion Fornaris Caballero, RN
- Title
- Administrator, Cfo, Owner
- Phone
- (754) 207-5033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
10031 Pines Blvd Ste 241
Pembroke Pines, FL 33024-6180
Mailing address
10031 Pines Blvd Ste 241
Pembroke Pines, FL 33024-6180
Phone (754) 207-5033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793923200000",
"number": "1275433039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10031 PINES BLVD STE 241",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246180",
"telephone_number": "754-207-5033",
"fax_number": "954-481-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10031 PINES BLVD STE 241",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246180",
"telephone_number": "754-207-5033",
"fax_number": "954-481-0588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUSION HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-06",
"last_updated": "2026-11-06",
"certification_date": "2026-11-06",
"status": "A",
"authorized_official_last_name": "FORNARIS CABALLERO",
"authorized_official_first_name": "CONCEPCION",
"authorized_official_title_or_position": "ADMINISTRATOR, CFO, OWNER",
"authorized_official_telephone_number": "754-207-5033",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.