Active NPI
Simply Home Care of Broward, Inc
Doing business as Simply Home Care
- Home Health Agency
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- -
- Certified
- Dec 19, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2298875 | Simply Home Care of Broward, Inc | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Surama Herrera | 5% Or Greater Direct Ownership Interest | May 10, 2022 | 100% |
| Corporate Officer | May 10, 2022 | 100% | |
| Corporate Director | May 10, 2022 | 100% | |
| W-2 Managing Employee | May 10, 2022 | 100% | |
| Kerenia Carbonell Vico | Corporate Officer | May 6, 2024 | |
| Corporate Director | May 6, 2024 | ||
| W-2 Managing Employee | 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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1235804899
Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1235804899
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.