Organization Active NPI

Medhealth Home Care. Agency Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1609633742
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Yansy Montesino, RNNPI 1437035912
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CorpCCN 687350 · All quality measures
Ownership
-
Certified
Mar 5, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2307022Medhealth Home Care Agency Corp9520 SW 40TH St - Ste 205, Miami, FL 33165Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Yansy Montesino Individual 5% Or Greater Direct Ownership Interest Mar 15, 2024 50%
W-2 Managing Employee Mar 15, 2024 50%
Darian Iglesias Individual 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.

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

Verify at the official NPI Registry.