Organization Active NPI

Ethic Health Services, LLC

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1346640992
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ETHIC HEALTH SERVICES, LLC
Practice address
13574 Village Park Dr Ste 220
Orlando, FL 32837-7694
Phone
(407) 530-5915
Fax
(407) 530-5916
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Saily Gomez
Title
Owner
Phone
(407) 530-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13574 Village Park Dr Ste 220
Orlando, FL 32837-7694

Mailing address

13574 Village Park Dr Ste 220
Orlando, FL 32837-7694
Phone (407) 530-5915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527000579 FL Part A Provider - Home Health Agency 1052631439 Practice locations: Orlando, FL

Home health agency certification: CCN 683194

Legal name
ETHIC HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 16, 2015
Last certification
Sep 20, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 28, 2014 in FL
Enrollment address
13574 Village Park Dr
Ste 220
Orlando, FL 32837-7694

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ethic Health Services LLCCCN 683194
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Sep 16, 2015
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
10D2085342Ethic Health Services LLC13574 Village Park Dr Ste 220, Orlando, FL 32837Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

3501 W Vine St
Ste 291
Kissimmee, FL 34741
Phone (407) 530-5915

13574 Village Park Dr
Unit 220
Orlando, FL 32837
Phone (407) 530-5915

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Saily Gomez Individual 5% Or Greater Direct Ownership Interest Feb 23, 2017 100%
Corporate OfficerAdministrator Ambr Jul 28, 2014 100%
Corporate DirectorAdministrator Ambr Jul 28, 2014 100%
W-2 Managing EmployeeAdministrator Ambr Jul 28, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1346640992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377694",
            "telephone_number": "407-530-5915",
            "fax_number": "407-530-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377694",
            "telephone_number": "407-530-5915",
            "fax_number": "407-530-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHIC HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-530-5915"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.