Organization Active NPI

Alliance Health Care of Miami Beach, LLC.

  • Home Health Agency
  • Hallandale Beach, FL
National Provider Identifier
1578127601
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC.
Practice address
409 W Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009-5301
Phone
(954) 906-1200
Fax
(954) 906-1214
NPI assigned
Apr 24, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLIANCE HEALTH CARE OF MIAMI BEACHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Ashley Lozev
Title
Director
Phone
(305) 865-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

409 W Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009-5301

Mailing address

21406 W Dixie Hwy
Miami, FL 33180-1144
Phone (305) 865-1989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001000202 FL Part A Provider - Home Health Agency 3971627969 Practice locations: Hallandale Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578127601. Details of each certification follow.

Home health agency certification: CCN 687039

Legal name
ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC.
Doing business as
SIMITREE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 17, 2020
Last certification
Apr 17, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
409 W Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009-5301

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alliance Health Care of Miami Beach LLCCCN 687039 · All quality measures
Ownership
Proprietary
Certified
Apr 17, 2020
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
10D2158467Alliance Health Care of Miami Beach, LLC409 West Hallandale Beach Blvd Ste 211, Hallandale Beach, FL 33009Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alliance Health Care of Miami Beach3 organizations share this tax ID, including this one
Part of
Alliance Health Care of Miami Beach

Other organizations with this tax ID 2

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

Locations

409 W Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009
Phone (954) 906-1200

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ashley Lozev Individual 5% Or Greater Direct Ownership InterestOwner Mar 7, 2012 100%
Limited Partnership InterestPresident Mar 7, 2019 100%
W-2 Managing EmployeeAd; Apr 24, 2019 100%
Karen Bennett Mills Individual W-2 Managing EmployeeAd; Apr 24, 2019 100%

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1578127601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21406 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801144",
            "telephone_number": "305-865-1989",
            "fax_number": "305-868-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W HALLANDALE BEACH BLVD STE 211",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095301",
            "telephone_number": "954-906-1200",
            "fax_number": "954-906-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE HEALTH CARE OF MIAMI BEACH",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "LOZEV",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-865-1989"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.