Fatima Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991118 Issued in FL

Legal business name

FATIMA HOME CARE, INC.

Practice address

1454 SW 1St St
Suite 120
Miami, FL 33135-2203

Phone

(305) 631-0029

Fax

(305) 541-9245

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Alicia Barreiro

Title

Adminstrator

Phone

(305) 631-0029

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 107730

Legal name

FATIMA HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 1, 2002

Last certification

Dec 5, 2019

Ownership / control type

Proprietary

Organization structure

Not SelectedProprietary

Enrollment address

1454 SW 1 Street
Suite 120
Miami, FL 33135-2203

Listed as

Fatima Home CareCCN 107730

Ownership

Proprietary

Certified

Oct 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1669432852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 SW 1ST ST",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352203",
            "telephone_number": "305-631-0029",
            "fax_number": "305-541-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 SW 1ST ST",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352203",
            "telephone_number": "305-631-0029",
            "fax_number": "305-541-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATIMA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BARREIRO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "305-631-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676842300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685228979",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650723200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.

Verify at the official NPI Registry.