Organization Active NPI

Wonderful Care Home Health, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1356528475
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992820 Issued in FL
Legal business name
WONDERFUL CARE HOME HEALTH, INC.
Practice address
943 SW 122ND Ave Ste 943
Miami, FL 33184
Phone
(305) 260-0097
Fax
(305) 260-0098
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Mrs. Mabelis Galindo
Title
President/Administrator
Phone
(305) 260-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992820 FL Primary

Addresses

Primary practice location

943 SW 122ND Ave Ste 943
Miami, FL 33184

Mailing address

943 SW 122ND Ave Ste 943
Miami, FL 33184-2406
Phone (305) 260-0097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000191 FL Part A Provider - Home Health Agency 0446339600 Practice locations: Miami, FL

Home health agency certification: CCN 109235

Legal name
WONDERFUL CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2009
Last certification
Jan 23, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 21, 2007 in FL
Enrollment address
943 SW 122ND Ave
Ste 943
Miami, FL 33184-2406

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wonderful Care Home Health IncCCN 109235
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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
10D1067777Wonderful Care Home Health, Inc943 SW 122ND Ave Ste 943, Miami, FL 33184Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

943 SW 122nd Ave
Ste 943
Miami, FL 33184
Phone (305) 260-0097

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
Mabelis Galindo Individual 5% Or Greater Direct Ownership Interest Feb 21, 2007 100%
Corporate OfficerPresident Feb 21, 2007 100%
W-2 Managing EmployeeBoard Member Jul 10, 2007 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1356528475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 SW 122ND AVE STE 943",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "305-260-0097",
            "fax_number": "305-260-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 SW 122ND AVE STE 943",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33184",
            "telephone_number": "305-260-0097",
            "fax_number": "305-260-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "MABELIS",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-260-0097",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.