Organization Active NPI

Excellent Care Home Health Services, Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1467653592
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992776 Issued in FL
Legal business name
EXCELLENT CARE HOME HEALTH SERVICES, INC
Practice address
7311 NW 12TH St
Bay 19
Miami, FL 33126-1935
Phone
(305) 262-6550
Fax
(305) 262-6551
NPI assigned
May 29, 2007
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Ms. Nereida Diaz
Title
Administrator
Phone
(305) 262-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992776 FL Primary

Addresses

Primary practice location

7311 NW 12TH St
Bay 19
Miami, FL 33126-1935

Mailing address

7311 NW 12TH St
Bay 19
Miami, FL 33126-1935
Phone (305) 262-6550

Other practice location 1

7400 NW 7th St
Suite 107
Miami, FL 33126-2942
Phone (305) 262-6550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000381 FL Part A Provider - Home Health Agency 7517067358 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467653592. Details of each certification follow.

Home health agency certification: CCN 109068

Legal name
EXCELLENT CARE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 10, 2008
Last certification
Jun 19, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 23, 2007 in FL
Enrollment address
7311 NW 12 St
Bay 19
Miami, FL 33126-1924

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excellent Care Home Health Services, IncCCN 109068 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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
10D1068924Excellent Care Home Health Services Inc7311 NW 12 St Bay 19, Miami, FL 33126Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

7311 NW 12th St
Ste 19
Miami, FL 33126
Phone (305) 262-6550

7400 NW 7th St
Ste 110
Miami, FL 33126
Phone (305) 262-6550

Ownership & related parties

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.

NameRoleSinceShare
Tania Alberdi Individual 5% Or Greater Direct Ownership Interest Jun 13, 2007
Corporate Officer Jan 23, 2007
Corporate Director Jun 13, 2007
W-2 Managing Employee Jun 13, 2007
Nereida Diaz Individual 5% Or Greater Direct Ownership Interest Jun 13, 2007
Corporate Officer Jan 18, 2012
Corporate Director Jun 13, 2007
W-2 Managing Employee Jun 13, 2007
Mayrelis Clavelo Gattorno Individual W-2 Managing EmployeeDirector of Nursing Sep 1, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1467653592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 NW 12TH ST",
            "address_2": "BAY 19",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261935",
            "telephone_number": "305-262-6550",
            "fax_number": "305-262-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 NW 12TH ST",
            "address_2": "BAY 19",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261935",
            "telephone_number": "305-262-6550",
            "fax_number": "305-262-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 NW 7th St",
            "address_2": "SUITE 107",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262942",
            "country_code": "US",
            "telephone_number": "305-262-6550",
            "fax_number": "305-262-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELLENT CARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NEREIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-262-6550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.