Dynamiks Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DYNAMIKS HOME CARE INC

Practice address

4501 N Wickham Rd Ste 104
Melbourne, FL 32935-7100

Phone

(321) 610-8765

Fax

(888) 429-6515

NPI assigned

Mar 8, 2016

Last updated

Feb 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Felvina Renna, PTNPI 1942347521

Title

Aministrator

Phone

(321) 610-8765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447611173. Details of each certification follow.

• CCN 687298 Home health agency · Active · Details

Home health agency certification: CCN 687298

Legal name

DYNAMIKS HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 10, 2022

Last certification

Nov 15, 2022

Organization structure

CorporationProprietary

Incorporated

Jun 4, 2010 in FL

Enrollment address

4501 N Wickham Rd
Ste 104
Melbourne, FL 32935-7100
HHA Branch

Listed as

Dynamiks Home Care IncCCN 687298 · All quality measures

Ownership

-

Certified

Dec 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dynamiks Home Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Dynamiks Home Care Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1730770694
  NPD tax ID
• Dynamiks Home Care Inc

  • Home Health Agency
  • Deerfield Beach, FL
  • NPI 1790360980
  NPD tax ID
• Dynamiks Home Care Inc

  • Home Health Agency
  • Lakeland, FL
  • NPI 1942891817
  NPD tax ID
• Dynamiks Home Care, Inc.

  • Home Health Agency
  • Palm Springs, FL
  • NPI 1720396542
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Felvina Garcia Renna, PT

  • Physical Therapist
  • Royal Palm Beach, FL
  • NPI 1942347521

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felvina Garcia Renna, PT

  • Physical Therapist
  • Royal Palm Beach, FL
  • NPI 1942347521
  NPD (past) Authorized official
• Berthovena Byrotte, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1689079196
  NPD
• Fernando Suico, PT

  • Physical Therapist
  • Melbourne, FL
  • NPI 1831798032
  NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1447611173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357100",
            "telephone_number": "321-610-8765",
            "fax_number": "561-952-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357100",
            "telephone_number": "321-610-8765",
            "fax_number": "888-429-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIKS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "FELVINA",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "321-610-8765",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.