Active NPI
Loving Heart Home Healthcare Inc
- Home Health Agency
- Doral, FL
National Provider Identifier
1629077060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA216300951
- Legal business name
- LOVING HEART HOME HEALTHCARE INC
- Practice address
- 2301 NW 93Rd Ave
Doral, FL 33172-4811 - Phone
- (305) 594-7200
- Fax
- (305) 594-7227
- NPI assigned
- Jul 19, 2005
- 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
- Joaquin Marquez
- Title
- Administrator
- Phone
- (305) 594-7200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA216300951 | FL | Primary |
| Homemaker | 376J00000X | 677828300 | FL |
Addresses
Primary practice location
2301 NW 93Rd Ave
Doral, FL 33172-4811
Mailing address
2301 NW 93Rd Ave
Doral, FL 33172-4811
Phone (305) 594-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650183800 | Medicaid | FL | |
| 677828300 | Other | FL | MEDWAIVER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000968 | FL | Part A Provider - Home Health Agency | 6103085444 | Practice locations: Doral, FL |
Home health agency certification: CCN 107629
- Legal name
- LOVING HEART HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 8, 2001
- Last certification
- Oct 27, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 24, 1994 in FL
- Enrollment address
- 2301Nw93Rd Ave
Doral, FL 33172-4811
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Loving Heart Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Feb 8, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2301 NW 93rd Ave
Doral, FL 33172
Phone (305) 594-7200
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 |
|---|---|---|---|
| Christine de la Portilla | Contracted Managing Employee | Jan 1, 1998 | |
| 5% Or Greater Direct Ownership Interest | Apr 19, 2022 | ||
| W-2 Managing Employee | Apr 19, 2022 | ||
| Operational/Managerial Control | Apr 19, 2022 | ||
| Joaquin Marquez | 5% Or Greater Direct Ownership Interest | Oct 24, 1994 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1629077060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 NW 93RD AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331724811",
"telephone_number": "305-594-7200",
"fax_number": "305-594-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 NW 93RD AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331724811",
"telephone_number": "305-594-7200",
"fax_number": "305-594-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING HEART HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "MARQUEZ",
"authorized_official_first_name": "JOAQUIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-594-7200"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA216300951",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "677828300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650183800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDWAIVER ID NUMBER",
"identifier": "677828300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.