Organization Active NPI

Quality Life Home Care Corp.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1558407304
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299992634 Issued in FL
Legal business name
QUALITY LIFE HOME CARE CORP.
Practice address
7811 Coral Way Ste 135
Miami, FL 33155
Phone
(305) 698-0127
Fax
(305) 698-0129
NPI assigned
Jan 29, 2007
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mr. Jose Escarda
Title
President
Phone
(305) 698-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299992634 FL Primary

Addresses

Primary practice location

7811 Coral Way Ste 135
Miami, FL 33155

Mailing address

7811 Coral Way Ste 135
Miami, FL 33155-6540
Phone (305) 698-0127

Other identifiers 1

IdentifierTypeStateIssuer
HHA299992634OtherFLHOME HEALTH AGENCY LICENS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070518000305 FL Part A Provider - Home Health Agency 3072610443 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558407304. Details of each certification follow.

Home health agency certification: CCN 109496

Legal name
QUALITY LIFE HOME CARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 19, 2010
Last certification
Aug 24, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 17, 2006 in FL
Enrollment address
7811 Coral Way
Ste 135
Miami, FL 33155-6540
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Life Home Care CorpCCN 109496 · All quality measures
Ownership
Proprietary
Certified
May 19, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
10D1063253Quality Life Home Care Corp7811 Coral Way Suite 135, Miami, FL 33155Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Quality Life Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 Coral Way
Ste 401
Miami, FL 33145
Phone (305) 285-1431

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose M Escarda Individual 5% Or Greater Direct Ownership InterestPresident May 17, 2022 100%
Corporate OfficerPresident May 17, 2022 100%
W-2 Managing EmployeePresident May 17, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1558407304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 CORAL WAY STE 135",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-698-0127",
            "fax_number": "305-698-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 CORAL WAY STE 135",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-698-0127",
            "fax_number": "305-698-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "ESCARDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-0127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENS",
            "identifier": "HHA299992634",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.