Organization Active NPI

Miami Homecare USA, LLC

  • Home Health Agency
  • Pembroke Park, FL
National Provider Identifier
1578380085
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIAMI HOMECARE USA, LLC
Practice address
4520 W Hallandale Beach Blvd Ste 11
Pembroke Park, FL 33023-4344
Phone
(754) 310-2273
Fax
(954) 589-5626
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mr. Leonid Yevdayev
Title
Administrator
Phone
(754) 310-2273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4520 W Hallandale Beach Blvd Ste 11
Pembroke Park, FL 33023-4344

Mailing address

4520 W Hallandale Beach Blvd Ste 11
Pembroke Park, FL 33023-4344
Phone (754) 310-2237

Other identifiers 1

IdentifierTypeStateIssuer
123630100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4520 W Hallandale Beach Blvd
Ste 11
Pembroke Park, FL 33023
Phone (754) 310-2273

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1578380085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 W HALLANDALE BEACH BLVD STE 11",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330234344",
            "telephone_number": "754-310-2237",
            "fax_number": "954-589-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 W HALLANDALE BEACH BLVD STE 11",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330234344",
            "telephone_number": "754-310-2273",
            "fax_number": "954-589-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI HOMECARE USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "YEVDAYEV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-310-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123630100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.