Organization Active NPI

Potential Home Health Care Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1609018670
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993556 Issued in FL
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 109694 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 5, 2011
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
10D1100674Potential Home Health Care, Inc10739 SW 104TH St, Miami, FL 33176Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
CMG Health LLC Organization, Miami, FL Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 22, 2024 50%
Oscar Garcia Individual Corporate OfficerPresident/Cfo Mar 22, 2024
W-2 Managing EmployeeAd; Mar 22, 2024
Operational/Managerial ControlPresident/Cfo 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.

Affiliated clinicians 4

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

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

Verify at the official NPI Registry.