Active NPI
Potential Home Health Care Inc.
- Home Health Agency
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993556
- Legal business name
- POTENTIAL HOME HEALTH CARE INC.
- Practice address
- 10739 SW 104TH Street
Miami, FL 33176-8163 - Phone
- (305) 264-6340
- Fax
- (305) 264-6341
- NPI assigned
- Apr 6, 2009
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Oscar A Garcia
- Title
- Owner
- Phone
- (305) 264-6340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993556 | FL | Primary |
Addresses
Primary practice location
10739 SW 104TH Street
Miami, FL 33176-8163
Mailing address
10739 SW 104TH Street
Miami, FL 33176-8163
Phone (305) 264-6340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100106000252 | FL | Part A Provider - Home Health Agency | 0749321248 | Practice locations: Miami, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609018670. Details of each certification follow.
Home health agency certification: CCN 109694
- Legal name
- POTENTIAL HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 5, 2011
- Last certification
- Mar 11, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 26, 2009 in FL
- Enrollment address
- 10739 SW 104TH St
Miami, FL 33176-8163
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Potential Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 5, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1100674 | Potential Home Health Care, Inc | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
10739 SW 104th St
Miami, FL 33176
Phone (305) 264-6340
9560 SW 107th Ave
Ste 108
Miami, FL 33176
Phone (305) 264-6340
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.
| Name | Role | Since | Share |
|---|---|---|---|
| CMG Health LLC | 5% Or Greater Direct Ownership Interest | Mar 22, 2024 | 50% |
| Oscar Garcia | Corporate Officer | Mar 22, 2024 | |
| W-2 Managing Employee | Mar 22, 2024 | ||
| Operational/Managerial Control | Mar 22, 2024 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1548736432
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Family Medicine) Physician
- Hialeah, FL
- NPI 1073566170
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1609018670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10739 SW 104TH STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768163",
"telephone_number": "305-264-6340",
"fax_number": "305-264-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10739 SW 104TH STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768163",
"telephone_number": "305-264-6340",
"fax_number": "305-264-6341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTENTIAL HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2024-09-26",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-264-6340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.