NPIMap

Organization Active NPI

Allegiance Home Health and Rehab

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1578618062
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992289 Issued in FL
Legal business name
ALLEGIANCE HOME HEALTH AND REHAB
Practice address
551 NW 77TH St Ste 111
Boca Raton, FL 33487-1330
Phone
(561) 367-0711
Fax
(561) 367-0721
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Mrs. Roselia Inguanzo-Martin
Title
President
Phone
(561) 367-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992289 FL Primary

Addresses

Primary practice location

551 NW 77TH St Ste 111
Boca Raton, FL 33487-1330

Mailing address

551 NW 77TH St Ste 111
Boca Raton, FL 33487-1330
Phone (561) 367-0711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051022000131 FL Part A Provider - Home Health Agency 4981620556 Practice locations: Boca Raton, FL

Home health agency certification: CCN 108280

Legal name
ALLEGIANCE HOME HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 14, 2006
Last certification
Nov 30, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 8, 2005 in FL
Enrollment address
551 NW 77TH St
Suite 111 and 115
Boca Raton, FL 33487-1330

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health and Rehab, IncCCN 108280 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 14, 2006
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
10D1046449Allegiance Home Health and Rehab Inc551 NW 77TH Street Suite 111, Boca Raton, FL 33487Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

551 NW 77th St
Ste 111
Boca Raton, FL 33487
Phone (561) 367-0711

1880 N Dixie Hwy
Boca Raton, FL 33432
Phone (561) 367-0711

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
Roselia Inguanzo Martin Individual 5% Or Greater Direct Ownership Interest May 1, 2005 100%
Corporate OfficerPresident Apr 8, 2005 100%
W-2 Managing EmployeeAdministrator Apr 8, 2005 100%
Operational/Managerial ControlAdministrator Apr 8, 2005 100%
Jamie Garcia Individual Corporate DirectorDirector of Nursing Jan 20, 2014
W-2 Managing Employee Jan 20, 2014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 37

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1578618062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 NW 77TH ST STE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871330",
            "telephone_number": "561-367-0711",
            "fax_number": "561-367-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 NW 77TH ST STE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871330",
            "telephone_number": "561-367-0711",
            "fax_number": "561-367-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOME HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "INGUANZO-MARTIN",
        "authorized_official_first_name": "ROSELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-367-0711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.