Organization Active NPI

Shilei LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1306598529
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHILEI LLC
Practice address
660 NW 119TH St Ste G
Miami, FL 33168-2523
Phone
(305) 653-4357
Fax
(786) 275-4178
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mr. Ian Richards
Title
VP/Alt Admin
Phone
(305) 653-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

660 NW 119TH St Ste G
Miami, FL 33168-2523

Mailing address

660 NW 119TH St Ste G
Miami, FL 33168-2523
Phone (305) 653-4357

Other names 1

  • Shilei Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103001141 FL Part A Provider - Home Health Agency 9436529740 Practice locations: Miami, FL

Home health agency certification: CCN 687224

Legal name
SHILEI LLC
Doing business as
SHILEI HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 16, 2023
Last certification
Feb 2, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 3, 2022 in FL
Enrollment address
660 NW 119TH St
Ste G
Miami, FL 33168-2523

Care Compare: Home health agency

Medicare Care Compare
Listed as
Shilei Home HealthCCN 687224
Ownership
Proprietary
Certified
Feb 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
10D2258437Shilei LLC Dba Shilei Home Health660 NW 119TH St Suite G, Miami, FL 33168Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Locations

660 NW 119th St
Ste G
Miami, FL 33168
Phone (305) 653-4357

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
Ian Richards Individual 5% Or Greater Direct Ownership InterestVP/Alt Admin/Cfo Jan 3, 2022 49%
Corporate DirectorVP/Alt Admin Jan 3, 2022 49%
Operational/Managerial ControlVP/Alt Admin Jan 3, 2022 49%
Xiaoling Richards Individual 5% Or Greater Direct Ownership InterestP/Admin/Don Jan 3, 2022 51%
Corporate DirectorP/Admin/Don Jan 3, 2022 51%
Operational/Managerial ControlP/Admin/Don Jan 3, 2022 51%

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1306598529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NW 119TH ST STE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682523",
            "telephone_number": "305-653-4357",
            "fax_number": "786-275-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NW 119TH ST STE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682523",
            "telephone_number": "305-653-4357",
            "fax_number": "786-275-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILEI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "VP/ALT ADMIN",
        "authorized_official_telephone_number": "305-653-4357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shilei Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.