Organization Active NPI

Simply Home Care of Broward, Inc

Doing business as Simply Home Care

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1467223776
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY HOME CARE OF BROWARD, INC
Doing business as
Simply Home Care
Practice address
7971 Riviera Blvd Ste 312
Miramar, FL 33023-6448
Phone
(954) 539-0061
Fax
(786) 870-1714
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Mr. Manuel Valdes
Title
Ceo
Phone
(954) 539-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7971 Riviera Blvd Ste 312
Miramar, FL 33023-6448

Mailing address

7971 Riviera Blvd Ste 312
Miramar, FL 33023-6448
Phone (954) 539-0061

Other names 1

  • SIMPLY HOME CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015004615 FL Part A Provider - Home Health Agency 5991237992 Practice locations: Miramar, FL

Home health agency certification: CCN 687346

Legal name
SIMPLY HOME CARE OF BROWARD INC
Doing business as
SIMPLY HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2024
Last certification
Dec 10, 2024
Organization structure
CorporationProprietary
Incorporated
May 10, 2022 in FL
Enrollment address
7971 Riviera Blvd
Ste 312
Miramar, FL 33023-6448

Care Compare: Home health agency

Medicare Care Compare
Listed as
Simply Home CareCCN 687346 · All quality measures
Ownership
-
Certified
Dec 19, 2024
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
10D2298875Simply Home Care of Broward, Inc7971 Riviera Blvd, Ste 312, Miramar, FL 33023Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory

Locations

7971 Riviera Blvd
Ste 312
Miramar, FL 33023
Phone (954) 539-0061

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
Surama Herrera Individual 5% Or Greater Direct Ownership InterestOwner, Administrator May 10, 2022 100%
Corporate OfficerOwner, Administrator May 10, 2022 100%
Corporate DirectorOwner, Administrator May 10, 2022 100%
W-2 Managing EmployeeAd;Owner May 10, 2022 100%
Kerenia Carbonell Vico Individual Corporate OfficerDirector of Nursing May 6, 2024
Corporate DirectorDirector of Nursing May 6, 2024
W-2 Managing EmployeeDirector of Nursing May 6, 2024

Owners & managing parties with NPI records 1

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

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1467223776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 312",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236448",
            "telephone_number": "954-539-0061",
            "fax_number": "786-870-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 312",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236448",
            "telephone_number": "954-539-0061",
            "fax_number": "786-870-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY HOME CARE OF BROWARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-539-0061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMPLY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SIMPLY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.