Active NPI
Lumars Health Care Corp
- Home Health Agency
- Sweetwater, FL
National Provider Identifier
1700835949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 21842096
- Legal business name
- LUMARS HEALTH CARE CORP
- Practice address
- 10887 NW 17TH St Unit 211
Sweetwater, FL 33172-2046 - Phone
- (305) 482-0172
- Fax
- (305) 482-0176
- NPI assigned
- May 6, 2006
- 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
- Ms. Zoe Margarita Rodriguez
- Title
- Administrator
- Phone
- (305) 482-0172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 21842096 | FL | Primary |
Addresses
Primary practice location
10887 NW 17TH St Unit 211
Sweetwater, FL 33172-2046
Mailing address
10887 NW 17TH St Unit 211
Sweetwater, FL 33172-2046
Phone (305) 482-0172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650970300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040103000017 | FL | Part A Provider - Home Health Agency | 7012816572 | Practice locations: Sweetwater, FL |
Home health agency certification: CCN 108050
- Legal name
- LUMAR'S HEALTH CARE, CORP
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 4, 2004
- Last certification
- Oct 2, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 24, 1993 in FL
- Enrollment address
- 10887 NW 17TH St
Unit 211
Sweetwater, FL 33172-2046
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lumar'S Health Care Corp.
- Ownership
- Proprietary
- Certified
- May 4, 2004
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0899597 | Lumar'S Health Care Corporation | Certificate of waiver | Apr 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
7205 NW 19th St
Ste 205
Miami, FL 33126
Phone (305) 482-0172
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Zoe Rodriguez | Corporate Officer | Nov 22, 2024 | |
| Lumar'S Em Holding LLC | 5% Or Greater Direct Ownership Interest | Nov 22, 2024 | 25% |
| Eduardo Monzon | 5% Or Greater Direct Ownership Interest | Feb 11, 2014 | 25% |
| 5% Or Greater Indirect Ownership Interest | Nov 22, 2024 | 25% | |
| Corporate Officer | Nov 22, 2024 | ||
| W-2 Managing Employee | Nov 22, 2024 | ||
| Lumar'S HM Holding LLC | 5% Or Greater Direct Ownership Interest | Nov 22, 2024 | 25% |
| Hector Monzon | 5% Or Greater Direct Ownership Interest | Feb 11, 2014 | 25% |
| 5% Or Greater Indirect Ownership Interest | Nov 22, 2024 | 25% | |
| Corporate Officer | Nov 22, 2024 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1700835949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10887 NW 17TH ST UNIT 211",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722046",
"telephone_number": "305-482-0172",
"fax_number": "305-482-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10887 NW 17TH ST UNIT 211",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722046",
"telephone_number": "305-482-0172",
"fax_number": "305-482-0176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMARS HEALTH CARE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-06",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ZOE",
"authorized_official_middle_name": "MARGARITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-482-0172",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "21842096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650970300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.