NPIMap

Organization Active NPI

Health Care of South Florida Corp

  • Home Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1699079996
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993480 Issued in FL
Legal business name
HEALTH CARE OF SOUTH FLORIDA CORP
Practice address
2000 NW 150TH Ave Ste 2107
Pembroke Pines, FL 33028-2870
Phone
(954) 431-1534
Fax
(954) 431-1128
NPI assigned
Dec 29, 2010
Last updated
Aug 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Mr. Oleg Lusher
Title
President
Phone
(305) 871-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993480 FL Primary

Addresses

Primary practice location

2000 NW 150TH Ave Ste 2107
Pembroke Pines, FL 33028-2870

Mailing address

2000 NW 150TH Ave Ste 2107
Pembroke Pines, FL 33028-2870
Phone (954) 431-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090828000206 FL Part A Provider - Home Health Agency 8325060882 1 other NPI on this enrollment
Practice locations: Pembroke Pines, FL
O20210201000464 FL Part B Supplier - Home Infusion Therapy Supplier 8325060882 1 other NPI on this enrollment
Practice locations: North Miami Beach, FL; Pembroke Pines, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699079996. Details of each certification follow.

Home health agency certification: CCN 109552

Legal name
HEALTH CARE OF SOUTH FLORIDA CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2010
Last certification
Mar 16, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 6, 2005 in FL
Enrollment address
2000 NW 150TH Ave
Ste 2107
Pembroke Pines, FL 33028-2870

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Care of South Florida CorpCCN 109552 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 30, 2010
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
10D1089775Health Care of South Florida Corp2000 NW 150TH Ave, Ste 2107, Pembroke Pines, FL 33028Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Health Care of South Florida 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

6570 Griffin Rd
Ste 101
Davie, FL 33314

2000 NW 150th Ave
Ste 2107
Pembroke Pines, FL 33028
Phone (954) 431-1534

Ownership & related parties

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.

NameRoleSinceShare
Oleg Lusher Individual 5% Or Greater Direct Ownership InterestPresident Jan 24, 2024 50%
Corporate Director May 13, 2011
W-2 Managing EmployeePres/Admin Sep 26, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1699079996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH AVE STE 2107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282870",
            "telephone_number": "954-431-1534",
            "fax_number": "954-431-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH AVE STE 2107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282870",
            "telephone_number": "954-431-1534",
            "fax_number": "954-431-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE OF SOUTH FLORIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "LUSHER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-871-3601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.