Organization Active NPI

Simply Home Care Agency, Corp

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1295390128
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 20, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
127081800MedicaidFL

Other names 1

  • SIMPLY HOME CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CorpCCN 687051 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

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
10D2192537Simply Home Care Agency Corp8175 NW 12TH St Suite 404, Doral, FL 33126Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Manuel Valdes Individual W-2 Managing EmployeeAd; Feb 20, 2025
Surama Herrera Individual 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

Verify at the official NPI Registry.