Organization Active NPI

Lesly Home Health Care Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1487734612
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 10, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 108207
Ownership
Proprietary
Certified
Aug 25, 2005
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
10D1013003Lesly Home Health Care Inc175 Fontainebleau Blvd 1R-6, Miami, FL 33172Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Alejandro Codina Individual 5% Or Greater Direct Ownership Interest Sep 2, 2013 50%
Lilian Camejo Individual Corporate Director Oct 1, 2005
W-2 Managing Employee Sep 16, 2004
Carmen Codina Individual 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

Verify at the official NPI Registry.