Active NPI
Simply Home Care Agency, Corp
- Home Health Agency
- Doral, FL
National Provider Identifier
1295390128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SIMPLY HOME CARE AGENCY, CORP
- Doing business as
- SIMPLY HOME CARE
- Practice address
- 8175 NW 12TH St Ste 404
Doral, FL 33126-1828 - Phone
- (305) 603-9558
- Fax
- (786) 870-1714
- NPI assigned
- May 6, 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. Manuel Valdes
- Title
- Ceo
- Phone
- (305) 603-9558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8175 NW 12TH St Ste 404
Doral, FL 33126-1828
Mailing address
8175 NW 12TH St Ste 404
Doral, FL 33126-1828
Phone (305) 603-9558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127081800 | Medicaid | FL |
Other names 1
- SIMPLY HOME CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200228002219 | FL | Part A Provider - Home Health Agency | 5395172415 | Practice locations: Doral, FL |
Home health agency certification: CCN 687051
- Legal name
- SIMPLY HOME CARE AGENCY CORP
- Doing business as
- SIMPLY HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 7, 2020
- Last certification
- Jul 7, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 8175 NW 12TH St
Ste 404
Doral, FL 33126-1828
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Simply Home Care Agency Corp
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 7, 2020
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
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 |
|---|---|---|---|
| 10D2192537 | Simply Home Care Agency Corp | Certificate of waiver | Sep 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
8175 NW 12th St
Ste 404
Doral, FL 33126
Phone (305) 603-9558
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Manuel Valdes | W-2 Managing Employee | Feb 20, 2025 | |
| Surama Herrera | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 100% |
| Corporate Officer | Sep 18, 2023 | 100% | |
| W-2 Managing Employee | Sep 18, 2023 | 100% | |
| Operational/Managerial Control | Sep 18, 2023 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1295390128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8175 NW 12TH ST STE 404",
"city": "DORAL",
"state": "FL",
"postal_code": "331261828",
"telephone_number": "305-603-9558",
"fax_number": "786-870-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8175 NW 12TH ST STE 404",
"city": "DORAL",
"state": "FL",
"postal_code": "331261828",
"telephone_number": "305-603-9558",
"fax_number": "786-870-1714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY HOME CARE AGENCY, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "VALDES",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-603-9558",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127081800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SIMPLY HOME CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.