NPIMap

Organization Active NPI

Credible Health Homecare, LLC

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1346883741
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREDIBLE HEALTH HOMECARE, LLC
Practice address
200 Knuth Rd, Ste 238E
Boynton Beach, FL 33436-4637
Phone
(561) 279-3000
Fax
(561) 336-6400
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mr. Jeamesly Esthema
Title
Owner
Phone
(561) 279-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 Knuth Rd, Ste 238E
Boynton Beach, FL 33436-4637

Mailing address

200 Knuth Rd, Ste 238E
Boynton Beach, FL 33436-4637
Phone (561) 279-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414002059 FL Part A Provider - Home Health Agency 0244626463 Practice locations: Boynton Beach, FL

Home health agency certification: CCN 687223

Legal name
CREDIBLE HEALTH HOMECARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 6, 2022
Last certification
Sep 13, 2022
Organization structure
LLCProprietary
Incorporated
Jan 30, 2019 in FL
Enrollment address
639 E Ocean Ave
Ste 302
Boynton Beach, FL 33435-5015
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Credible Health Homecare LLCCCN 687223
Ownership
-
Certified
Oct 6, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

639 E Ocean Ave
Ste 302
Boynton Beach, FL 33435
Phone (561) 536-8481

200 Knuth Rd
Ste 238E
Boynton Beach, FL 33436
Phone (561) 279-3000

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Weendell Esthema Individual 5% Or Greater Direct Ownership InterestFinancial Advisor Jan 30, 2019 25%
5% Or Greater Mortgage Interest Jan 30, 2019 25%
5% Or Greater Security Interest Jan 30, 2019 25%
W-2 Managing Employee Jan 30, 2021 25%
Jhonny Pierre Individual 5% Or Greater Direct Ownership InterestAssistant Administrator Jan 30, 2019 25%
5% Or Greater Mortgage Interest Jan 30, 2019 25%
5% Or Greater Security Interest Jan 30, 2019 25%
W-2 Managing Employee Jan 30, 2021 25%
Randolph Esthema Individual 5% Or Greater Direct Ownership Interest Jan 30, 2019
5% Or Greater Mortgage InterestPresident Jan 30, 2019 25%
5% Or Greater Security InterestFinancial Advisor Jan 30, 2019 25%
W-2 Managing EmployeeAdministrator Jan 30, 2021 25%
Jeamesly Esthema Individual 5% Or Greater Direct Ownership InterestSafety Liaison Jan 30, 2019 25%
5% Or Greater Mortgage Interest Jan 30, 2019 25%
5% Or Greater Security Interest25 Jan 30, 2019
W-2 Managing Employee Jan 30, 2021 25%

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1346883741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD, STE 238E",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364637",
            "telephone_number": "561-279-3000",
            "fax_number": "561-336-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD, STE 238E",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364637",
            "telephone_number": "561-279-3000",
            "fax_number": "561-336-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDIBLE HEALTH HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "ESTHEMA",
        "authorized_official_first_name": "JEAMESLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-279-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.