Quality Home Care of South Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

QUALITY HOME CARE OF SOUTH FLORIDA LLC

Practice address

10420 SW 77TH Ave Ste 101a
Pinecrest, FL 33156-3771

Phone

(305) 877-4348

Fax

(813) 336-4171

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By 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. Maritza Lopez

Title

Manager/Owner

Phone

(305) 877-4348

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 1487202461. Details of each certification follow.

• CCN 687106 Home health agency · Active · Details

Home health agency certification: CCN 687106

Legal name

QUALITY HOME CARE OF SOUTH FLORIDA LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 23, 2021

Last certification

Apr 23, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Feb 27, 2019 in FL

Enrollment address

10420 SW 77TH Ave
Ste 101a
Pinecrest, FL 33156-3771
HHA Branch

Listed as

Quality Home Care of South Florida LLCCCN 687106 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Apr 23, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1487202461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE STE 101A",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-877-4348",
            "fax_number": "813-336-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE STE 101A",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-877-4348",
            "fax_number": "813-336-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOME CARE OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "305-877-4348",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Pinecrest, FL
• Providers in Pinecrest, 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 Sep 3, 2019; 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.