Organization Active NPI

Ocha Home Health Services Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1609039205
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
19965939 Issued in FL
Legal business name
OCHA HOME HEALTH SERVICES CORP
Practice address
2460 SW 137TH Ave Ste 241
Miami, FL 33175-6399
Phone
(786) 866-5904
Fax
(786) 472-1866
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Mrs. Adis D Perez, RN
Title
Admin
Phone
(786) 866-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 19965939 FL Primary

Addresses

Primary practice location

2460 SW 137TH Ave Ste 241
Miami, FL 33175-6399

Mailing address

2460 SW 137TH Ave Ste 241
Miami, FL 33175-6399
Phone (786) 866-5904

Other identifiers 1

IdentifierTypeStateIssuer
112104000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ochahomehealth@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080904000081 FL Part A Provider - Home Health Agency 4880760503 Practice locations: Miami, FL

Home health agency certification: CCN 109263

Legal name
OCHA HOME HEALTH SERVICES CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 2009
Last certification
Sep 10, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2008 in FL
Enrollment address
2460 SW 137TH Ave
Ste 241
Miami, FL 33175-6399

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ocha Home Health Services CorpCCN 109263
Ownership
Proprietary
Certified
May 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5545 SW 8th St
Ste 107
Coral Gables, FL 33134
Phone (786) 866-5904

957B SW 87th Ave
Miami, FL 33174
Phone (786) 866-5904

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Adis Perez Suarez Individual 5% Or Greater Direct Ownership InterestPresident Dec 7, 2015 100%
Corporate OfficerCeo/President Mar 14, 2013 100%
Corporate DirectorCeo/President Mar 14, 2013 100%
W-2 Managing EmployeeCeo/President Mar 14, 2013 100%
Operational/Managerial ControlCeo/President Dec 7, 2015 100%
OtherArthoried Officer Dec 7, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1609039205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE STE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756399",
            "telephone_number": "786-866-5904",
            "fax_number": "786-472-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE STE 241",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756399",
            "telephone_number": "786-866-5904",
            "fax_number": "786-472-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHA HOME HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ADIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "786-866-5904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "19965939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112104000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ochahomehealth@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2460 SW 137 ave",
            "address_2": "241",
            "city": "miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.