Organization Active NPI

Cruz Homecare & Educational Services LLC

  • Home Health Agency
  • Kissimmee, FL
National Provider Identifier
1407416092
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRUZ HOMECARE & EDUCATIONAL SERVICES LLC
Practice address
813 Bryan St
Kissimmee, FL 34741-5411
Phone
(407) 548-4228
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Xiomara CruzNPI 1720648694
Title
Administrator
Phone
(407) 437-9322

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

813 Bryan St
Kissimmee, FL 34741-5411

Mailing address

813 Bryan St
Kissimmee, FL 34741-5411

Other practice location 1

150 3rd St SW Ste 105
Winter Haven, FL 33880-2980
Phone (407) 437-9322

Other identifiers 1

IdentifierTypeStateIssuer
10235600MedicaidFL

Other names 1

  • Cruz Homecare & Educational Service Former legal business name

National Provider Directory

National Provider Directory

Locations

722 Patrick St
Ste 206
Kissimmee, FL 34741
Phone (321) 946-9585

813 Bryan St
Kissimmee, FL 34741
Phone (407) 548-4228

150 3rd St SW
Ste 105
Winter Haven, FL 33880
Phone (407) 437-9322

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": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1407416092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 BRYAN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BRYAN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415411",
            "telephone_number": "407-548-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 3rd St SW Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338802980",
            "country_code": "US",
            "telephone_number": "407-437-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRUZ HOMECARE & EDUCATIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-437-9322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10235600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cruz Homecare & Educational Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.