NPIMap

Organization Active NPI

All Florida Home Health Services, Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1306861208
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALL FLORIDA HOME HEALTH SERVICES, INC
Practice address
4601 NW 77TH Avenue
Suite a
Miami, FL 33166
Phone
(305) 263-9992
Fax
(786) 845-8586
NPI assigned
Jul 12, 2006
Reactivated
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Mercedes Martin, ARNP, FNP-BCNPI 1598263139
Title
Administrator
Phone
(305) 263-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4601 NW 77TH Avenue
Suite a
Miami, FL 33166

Mailing address

4601 NW 77TH Avenue
Suite a
Miami, FL 33166
Phone (305) 845-8585

Other identifiers 3

IdentifierTypeStateIssuer
299992599OtherFLAHCA
455105OtherFLTHE JOINT COMMISSION
800021974OtherFLCLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000202 FL Part A Provider - Home Health Agency 1052412145 Practice locations: Miami, FL

Home health agency certification: CCN 109005

Legal name
ALL FLORIDA HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 2008
Last certification
Apr 12, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 6, 2008 in FL
Enrollment address
4601 NW 77TH Ave
Ste a
Miami, FL 33166-6449

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Florida Home Health Services IncCCN 109005
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 10, 2008
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
10D1063147All Florida Home Health Services4601 NW 77TH Ave Ste a, Miami, FL 33166Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

4601 NW 77th Ave
Ste A
Miami, FL 33166
Phone (305) 263-9992

4600 SW 75th Ave
Ste A
Miami, FL 33155
Phone (305) 263-9992

4600 SW 75th Ave
Miami, FL 33155
Phone (305) 263-9992

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mercedes Martin Individual Corporate OfficerPresident Jan 25, 2019
W-2 Managing EmployeeAd;Alternate Don Jun 1, 2018
Hugh Chang Alloy Individual Corporate DirectorTreasurer Jan 6, 2016
Ils Group LLC Organization, Miami, FL LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 17, 2015 100%
Nestor Plana Individual 5% Or Greater Indirect Ownership InterestCeo Aug 2, 2021 81.25%
Raymond E Noonan Irrevocable Trust Organization, Miami, FL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2021 18.75%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1306861208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVENUE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-845-8585",
            "fax_number": "786-845-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVENUE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-263-9992",
            "fax_number": "786-845-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FLORIDA HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-09-05",
        "deactivation_date": "2018-08-23",
        "reactivation_date": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-263-9992",
        "authorized_official_credential": "ARNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299992599",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "455105",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "800021974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.