Southeast Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299991650 Issued in FL

Legal business name

SOUTHEAST HOMECARE LLC

Doing business as

Southeast Homecare

Practice address

7719 NW 48 Street
Suite 330, 340
Doral, FL 33166

Phone

(786) 507-2400

Fax

(786) 507-2402

NPI assigned

May 22, 2009

Last updated

Sep 18, 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

Linda Mendez

Title

Chief Operating Officer

Phone

(844) 215-4264

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southeast Homecare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568697381. Details of each certification follow.

• CCN 107762 Home health agency · Active · Details

Home health agency certification: CCN 107762

Legal name

SOUTHEAST HOMECARE LLC

Doing business as

SOUTHEAST HOMECARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 15, 2003

Last certification

Mar 26, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 25, 2013 in FL

Enrollment address

3403 NW 82ND Ave
Ste 210
Doral, FL 33122-1069

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southeast Homecare LLC

  dba Southeast Homecare

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1003041823

  7113059247

  Same PAC ID

Listed as

Southeast HomecareCCN 107762 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Apr 15, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Tax ID family

Southast Homecare Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Southast Homecare Corp

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1407810450
  NPD tax ID
• Southeast Homecare Corporation

  • Home Health Agency
  • Doral, FL
  • NPI 1780648733
  NPD tax ID
• Southeast Homecare LLC

  dba Southeast Homecare

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1003041823
  NPD tax ID

Locations

All disclosed owners & managing parties 13

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alborada Home Health of Tampa, Inc

  dba Southeast Homecare

  • Home Health Agency
  • Tampa, FL
  • NPI 1033469168

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Alborada Home Health of Tampa, Inc

  dba Southeast Homecare

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1376724146

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Infinity Home Health Care of Florida Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1790197705

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Integrated Home Care Acquisition Corp, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Southeast Homecare LLC

  dba Southeast Homecare

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1003041823

  Ihcs Purchaser Corporation, Ihcs Purchaser Holdco Inc, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Integrated Home Care Acquisition Corp, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Metro, LLC.

  • Home Health Agency
  • San Juan, PR
  • NPI 1811370562

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Norte, LLC

  • Home Health Agency
  • Hatillo, PR
  • NPI 1215486964

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Oeste, LLC.

  • Home Health Agency
  • Mayaguez, PR
  • NPI 1568864940

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• CMS Home Care Sur, LLC.

  • Home Health Agency
  • Ponce, PR
  • NPI 1770907818

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership
• Nueva Vida de la Salud Home Care Corp

  • Home Health Agency
  • Bayamon, PR
  • NPI 1902167703

  Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

  CMS ownership

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1568697381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 NW 48 STREET",
            "address_2": "SUITE 330",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-507-2400",
            "fax_number": "786-507-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 NW 48 STREET",
            "address_2": "SUITE 330, 340",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-507-2400",
            "fax_number": "786-507-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "844-215-4264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "107762",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Miami Hospital, Inc (Baptist Health Medical Plaza Doral)
• South Miami Hospital, Inc (Baptist Health Urgent Care at Downtown Doral)
• South Office Corp
• South Texas Medical LLC
• Southeast Homecare Corporation
• Stephanie Soza
• Sarah Ann Spar Alexander, PSY.D.
• Speak & Learn Bilingual Therapy Inc
• Specialty Telehealth Solutions, L.L.C.
• Spectrum Therapy Care LLC

• Home Health Agency in Doral, FL
• Providers in Doral, 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 18, 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.