Active NPI
Lesly Home Health Care Inc
- Home Health Agency
- Miami, FL
National Provider Identifier
1487734612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LESLY HOME HEALTH CARE INC
- Practice address
- 175 Fontainebleau Blvd
#1R6
Miami, FL 33172 - Phone
- (305) 553-7727
- Fax
- (305) 553-8522
- NPI assigned
- Oct 16, 2006
- 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
- Mrs. Carmen Teresa Codina
- Title
- Cfo
- Phone
- (305) 553-7727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
175 Fontainebleau Blvd
#1R6
Miami, FL 33172
Mailing address
175 Fontainebleau Blvd
#1R6
Miami, FL 33172
Phone (305) 553-7727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050201000862 | FL | Part A Provider - Home Health Agency | 2961453527 | Practice locations: Miami, FL |
Home health agency certification: CCN 108207
- Legal name
- LESLY HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 25, 2005
- Last certification
- Sep 12, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 29, 2002 in FL
- Enrollment address
- 175 Fountainbleau Blvd
1R6
Miami, FL 33172-4511
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lesly Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Aug 25, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
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 |
|---|---|---|---|
| 10D1013003 | Lesly Home Health Care Inc | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
175 Fountainbleau Blvd
Ste 1R6
Miami, FL 33172
Phone (305) 553-7727
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alejandro Codina | 5% Or Greater Direct Ownership Interest | Sep 2, 2013 | 50% |
| Lilian Camejo | Corporate Director | Oct 1, 2005 | |
| W-2 Managing Employee | Sep 16, 2004 | ||
| Carmen Codina | 5% Or Greater Direct Ownership Interest | Sep 2, 2013 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1487734612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FONTAINEBLEAU BLVD",
"address_2": "#1R6",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "305-553-7727",
"fax_number": "305-553-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FONTAINEBLEAU BLVD",
"address_2": "#1R6",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "305-553-7727",
"fax_number": "305-553-8522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLY HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "CODINA",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "305-553-7727",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.