Organization Active NPI

Medella Home Health LLC

  • Home Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1396590378
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDELLA HOME HEALTH LLC
Practice address
15800 Pines Blvd Ste 341
Pembroke Pines, FL 33027-1212
Phone
(954) 569-8698
Fax
(954) 569-8699
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Ms. Mileidis Roque Puentes, RNNPI 1265104277
Title
Owner
Phone
(786) 443-2555

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

15800 Pines Blvd Ste 341
Pembroke Pines, FL 33027-1212

Mailing address

15800 Pines Blvd Ste 341
Pembroke Pines, FL 33027-1212
Phone (954) 569-8698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424001238 FL Part A Provider - Home Health Agency 1951827732 Practice locations: Pembroke Pines, FL

Home health agency certification: CCN 687380

Legal name
MEDELLA HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 2025
Last certification
Jul 1, 2025
Organization structure
LLCProprietary
Enrollment address
15800 Pines Blvd
Ste 341
Pembroke Pines, FL 33027-1212
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medella Home Health LLCCCN 687380 · All quality measures
Ownership
-
Certified
Jul 10, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2318604Medella Home Health LLC15800 Pines Blvd, Ste 341, Pembroke Pines, FL 33027Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

15800 Pines Blvd
Ste 341
Pembroke Pines, FL 33027
Phone (954) 569-8698

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Joan Beltran Individual 5% Or Greater Direct Ownership Interest Oct 16, 2024 50%
Mileidis Puentes Individual 5% Or Greater Direct Ownership Interest Oct 16, 2024 50%
W-2 Managing Employee Oct 16, 2024

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1396590378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 341",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-569-8698",
            "fax_number": "954-569-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 341",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-569-8698",
            "fax_number": "954-569-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELLA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "ROQUE PUENTES",
        "authorized_official_first_name": "MILEIDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-443-2555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.