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
Other NPIs with the same Medicare PAC ID 1
Medicare Care Compare: Home health agency
- Listed as
- A & B Home Health Inc
- Ownership
- Proprietary
- Certified
- Feb 28, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1092003 | A & B Home Health Inc | Certificate of waiver | Nov 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
| Name | Role | Since | Share |
|---|---|---|---|
| Asier Torres |
5% Or Greater Direct Ownership Interest |
Nov 5, 2008 | 50% |
| 5% Or Greater Mortgage Interest |
Nov 5, 2008 | 50% | |
| 5% Or Greater Security Interest |
Nov 5, 2008 | 50% | |
| General Partnership Interest |
Nov 5, 2008 | 50% | |
| Corporate Officer |
Nov 5, 2008 | 50% | |
| Corporate Director |
Nov 5, 2008 | 50% | |
| W-2 Managing Employee |
Nov 5, 2008 | ||
| Operational/Managerial Control |
Nov 5, 2008 | 50% | |
| Maelys Brena |
5% Or Greater Direct Ownership Interest |
Aug 15, 2020 | 50% |
| 5% Or Greater Mortgage Interest |
Aug 15, 2020 | 50% | |
| 5% Or Greater Security Interest |
Aug 15, 2020 | 50% | |
| General Partnership Interest |
Aug 15, 2020 | 50% | |
| Corporate Officer |
Aug 15, 2020 | 50% | |
| Corporate Director |
Aug 15, 2020 | 50% | |
| W-2 Managing Employee |
Aug 15, 2020 | 50% | |
| Operational/Managerial Control |
Aug 15, 2020 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- A & J Quality Inc
- A & K Home Services Inc
- A Blue Nursing Care Inc
- A Place to Bloom LLC
- A Victory Health Care, Inc
- A&E Zaragoza PA
- Aayush Infusion Services Inc
- Ab & Company Services, Inc.
- ABA Creative Therapy Corp
- ABA Development Center, Inc.
All providers in Miami Lakes, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.