NPIMap

Organization Active NPI

Pines Home Health Care Services Inc

  • Home Health Agency
  • Davie, FL
National Provider Identifier
1336127893
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINES HOME HEALTH CARE SERVICES INC
Practice address
5400 S University Dr
Suite 409
Davie, FL 33328-5312
Phone
(954) 680-3898
Fax
(954) 680-3977
NPI assigned
Jan 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lydia Aguinaldo, REGISTERED NURSE
Title
Administrator
Phone
(954) 680-3898

Specialties & licenses 1

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

Addresses

Primary practice location

5400 S University Dr
Suite 409
Davie, FL 33328-5312

Mailing address

5400 S University Dr
Suite 409
Davie, FL 33328-5312
Phone (954) 680-3898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030507000064 FL Part A Provider - Home Health Agency 3375453095 Practice locations: Davie, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336127893. Details of each certification follow.

Home health agency certification: CCN 107780

Legal name
PINES HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 2003
Last certification
May 31, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 21, 2001 in FL
Enrollment address
5400 S University Dr
Ste 409
Davie, FL 33328-5311

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pines Home Health Care Services IncCCN 107780 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 10, 2003
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
10D0996272Pines Home Health Care Services Inc5400 South University Drive Suite 409, Davie, FL 33328Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory

Locations

5400 S University Dr
Ste 409
Davie, FL 33328
Phone (954) 680-3898

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
Pines Home Health Care Services Inc Organization, Davie, FL Corporation 5% Or Greater Direct Ownership Interest Jan 25, 2002 100%
Lydia Aguinaldo Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2020 25%
Corporate OfficerChief Financial Officer Jul 15, 2012
Operational/Managerial ControlAdministrator Jan 25, 2002
Raymundo Tablada Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2020 25%
Maluisa Gatmaitan Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2020 25%
Masocorro Brutus Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2020 25%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336127893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "SUITE 409",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-680-3898",
            "fax_number": "954-680-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR",
            "address_2": "SUITE 409",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285312",
            "telephone_number": "954-680-3898",
            "fax_number": "954-680-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES HOME HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUINALDO",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-680-3898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.