Active NPI
Medhealth Home Care. Agency Corp
- Home Health Agency
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MEDHEALTH HOME CARE. AGENCY CORP
- Practice address
- 9520 SW 40TH St Ste 205
Miami, FL 33165-4074 - Phone
- (786) 485-4912
- Fax
- (786) 284-5403
- NPI assigned
- Mar 5, 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
- Yansy Montesino, RN
- Title
- Admin
- Phone
- (786) 485-4912
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9520 SW 40TH St Ste 205
Miami, FL 33165-4074
Mailing address
9520 SW 40TH St Ste 205
Miami, FL 33165-4074
Phone (786) 485-4912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924001638 | FL | Part A Provider - Home Health Agency | 8729529268 | Practice locations: Miami, FL |
Home health agency certification: CCN 687350
- Legal name
- MEDHEALTH HOME CARE AGENCY CORP
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 5, 2025
- Last certification
- Jan 23, 2025
- Organization structure
- Corporation
- Enrollment address
- 9520 SW 40TH St
Ste 205
Miami, FL 33165-4074
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Medhealth Home Care Agency Corp
- Ownership
- -
- Certified
- Mar 5, 2025
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2307022 | Medhealth Home Care Agency Corp | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
9520 SW 40th St
Ste 205
Miami, FL 33165
Phone (786) 485-4912
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 |
|---|---|---|---|
| Yansy Montesino | 5% Or Greater Direct Ownership Interest | Mar 15, 2024 | 50% |
| W-2 Managing Employee | Mar 15, 2024 | 50% | |
| Darian Iglesias | 5% Or Greater Direct Ownership Interest | Mar 15, 2024 | 50% |
| Corporate Director | Mar 15, 2024 | 50% | |
| W-2 Managing Employee | Mar 15, 2024 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1437035912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1609633742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 SW 40TH ST STE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654074",
"telephone_number": "786-485-4912",
"fax_number": "786-284-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 SW 40TH ST STE 205",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654074",
"telephone_number": "786-485-4912",
"fax_number": "786-284-5403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHEALTH HOME CARE. AGENCY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "MONTESINO",
"authorized_official_first_name": "YANSY",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "786-485-4912",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"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 Mar 5, 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.