A&B Home Health Inc

Organization Active NPI Home Health Agency · Miami Lakes, FL

NPI 1609220862 · NPPES record last updated Apr 14, 2016

Key facts

NPI
1609220862
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
299993379 (FL)
Legal business name
A&B HOME HEALTH INC
Practice address
6169 Miami Lakes E Dr
Miami Lakes, FL 33015
Phone
(954) 321-8681
NPI assigned
Apr 14, 2016
Organization subpart
No

Authorized official

Name
Mr. Asier Torres
Title
President
Phone
(954) 321-8681

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Medicare Care Compare: Home health agency

Listed as
A & B Home Health Inc CCN 109672
Ownership
Proprietary
Certified
Feb 28, 2011
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1092003A & B Home Health Inc
6169 Miami Lakes Dr East, Miami Lakes, FL 33014
Certificate of waiverNov 13, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Home health agency certification: CCN 109672

Legal name
A&B HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 2011
Last certification
Jan 24, 2020
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Feb 21, 2003 in FL
Enrollment address
6169 Miami Lakes Drive East
Miami Lakes, FL 33014-2408

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
Asier Torres
Individual
5% Or Greater Direct Ownership Interest
President, Board Member
Nov 5, 2008 50%
5% Or Greater Mortgage Interest
President, Board Member
Nov 5, 2008 50%
5% Or Greater Security Interest
President, Board Member
Nov 5, 2008 50%
General Partnership Interest
President, Board Member
Nov 5, 2008 50%
Corporate Officer
President, Board Member
Nov 5, 2008 50%
Corporate Director
President, Board Member
Nov 5, 2008 50%
W-2 Managing Employee
President, Board Member
Nov 5, 2008
Operational/Managerial Control
President, Board Member
Nov 5, 2008 50%
Maelys Brena
Individual
5% Or Greater Direct Ownership Interest
Vice President, Board Member
Aug 15, 2020 50%
5% Or Greater Mortgage Interest
Vice President, Board Member
Aug 15, 2020 50%
5% Or Greater Security Interest
Vice President, Board Member
Aug 15, 2020 50%
General Partnership Interest
Vice President, Board Member
Aug 15, 2020 50%
Corporate Officer
Vice President, Board Member
Aug 15, 2020 50%
Corporate Director
Vice President, Board Member
Aug 15, 2020 50%
W-2 Managing Employee
Vice President, Board Member
Aug 15, 2020 50%
Operational/Managerial Control
Vice President, Board Member
Aug 15, 2020 50%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100615000642 FL Part a Provider - Home Health Agency 9436045143 1 other NPI on this enrollment
Practice locations: Miami Lakes, FL

National Provider Directory

Locations

4431 Davie Rd
Ste 119
Davie, FL 33314
Phone (954) 321-8681

6169 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 819-6790

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993379 FL Yes

Addresses

Primary practice location

6169 Miami Lakes E Dr
Miami Lakes, FL 33015

Mailing address

6169 Miami Lakes E Dr
Miami Lakes, FL 33015

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.