NPIMap

Organization Active NPI

Home Nurse Corp.

Doing business as The Palace at Home

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1619960341
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991072 Issued in FL
Legal business name
HOME NURSE CORP.
Doing business as
The Palace at Home
Practice address
10850 SW 113TH PL
Miami, FL 33176-3227
Phone
(305) 275-2533
Fax
(305) 270-7037
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Julio Cesar Chacon
Title
Administrator/General Manager
Phone
(305) 275-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991072 FL Primary

Addresses

Primary practice location

10850 SW 113TH PL
Miami, FL 33176-3227

Mailing address

10850 SW 113TH PL
Miami, FL 33176-3227
Phone (305) 275-2533

Other names 1

  • The Palace at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000093 FL Part A Provider - Home Health Agency 6507898160 Practice locations: Miami, FL

Home health agency certification: CCN 107653

Legal name
HOME NURSE CORP.
Doing business as
THE PALACE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 11, 2001
Last certification
Oct 31, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 17, 1996 in FL
Enrollment address
10850 SW 113TH Place
Miami, FL 33176-3227

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Palace at HomeCCN 107653 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 11, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D0924392Palace at Home, the10850 SW 113TH PL, Miami, FL 33176Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Home Nurse Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2214 Weston Rd
Weston, FL 33326
Phone (954) 343-2222

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Julio Chacon Individual W-2 Managing Employee Apr 3, 2009
Helen Shaham Individual 5% Or Greater Direct Ownership Interest Oct 16, 1996 50%
Jacob Shaham Individual 5% Or Greater Direct Ownership Interest Oct 16, 1996 50%

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1619960341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-275-2533",
            "fax_number": "305-270-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-275-2533",
            "fax_number": "305-270-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME NURSE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "ADMINISTRATOR/GENERAL MANAGER",
        "authorized_official_telephone_number": "305-275-2533"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palace at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.