Organization Active NPI

Grand Opportunity Home Health,Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1295793008
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991501 Issued in FL
Legal business name
GRAND OPPORTUNITY HOME HEALTH,INC.
Practice address
13911 SW 42ND St
Suite 201
Miami, FL 33175-6403
Phone
(305) 221-9090
Fax
(305) 221-9099
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ailiuj Fernandez Castano
Title
President
Phone
(305) 221-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991501 FL Primary

Addresses

Primary practice location

13911 SW 42ND St
Suite 201
Miami, FL 33175-6403

Mailing address

13911 SW 42ND St
Suite 201
Miami, FL 33175-6403
Phone (305) 221-9090

Other identifiers 2

IdentifierTypeStateIssuer
1295793008OtherFLMEDICARE FEE FOR SERVICE
1295793008MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000489 FL Part A Provider - Home Health Agency 1456261973 Practice locations: Miami, FL

Home health agency certification: CCN 108398

Legal name
GRAND OPPORTUNITY HOME HEALTH,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 15, 2007
Last certification
Jul 7, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 16, 1999 in FL
Enrollment address
13911 SW 42 Street
#201
Miami, FL 33175-6403

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grand Opportunity Home Health IncCCN 108398
Ownership
Proprietary
Certified
Mar 15, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1250 SW 27th Ave
Ste 306
Miami, FL 33135
Phone (305) 541-9818

13911 SW 42nd St
Ste 201
Miami, FL 33175
Phone (305) 221-9090

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
Ailiuj Fernadez Individual 5% Or Greater Indirect Ownership Interest Jan 30, 2026 100%
Corporate Officer May 18, 2011
Corporate Director May 18, 2011
W-2 Managing Employee May 18, 2011
Afc Legacy Holding LLC Organization, Miami, FL LLC, Holding company 5% Or Greater Direct Ownership Interest Jan 30, 2026 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1295793008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 SW 42ND ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756403",
            "telephone_number": "305-221-9090",
            "fax_number": "305-221-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 SW 42ND ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756403",
            "telephone_number": "305-221-9090",
            "fax_number": "305-221-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OPPORTUNITY HOME HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ CASTANO",
        "authorized_official_first_name": "AILIUJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-9090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FEE FOR SERVICE",
            "identifier": "1295793008",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295793008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.