Organization Active NPI

Lumars Health Care Corp

  • Home Health Agency
  • Sweetwater, FL
National Provider Identifier
1700835949
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21842096 Issued in FL
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

Updated by the provider on Sep 8, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
650970300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 108050
Ownership
Proprietary
Certified
May 4, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
10D0899597Lumar'S Health Care Corporation10887 NW 17TH St Ste 211, Miami, FL 33172Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Zoe Rodriguez Individual Corporate OfficerTreasurer Nov 22, 2024
Lumar'S Em Holding LLC Organization, Sweetwater, FL LLC, Holding company 5% Or Greater Direct Ownership Interest Nov 22, 2024 25%
Eduardo Monzon Individual 5% Or Greater Direct Ownership Interest Feb 11, 2014 25%
5% Or Greater Indirect Ownership Interest Nov 22, 2024 25%
Corporate OfficerPresident Nov 22, 2024
W-2 Managing EmployeeAd; Nov 22, 2024
Lumar'S HM Holding LLC Organization, Miami, FL LLC, Holding company 5% Or Greater Direct Ownership Interest Nov 22, 2024 25%
Hector Monzon Individual 5% Or Greater Direct Ownership Interest Feb 11, 2014 25%
5% Or Greater Indirect Ownership Interest Nov 22, 2024 25%
Corporate OfficerVice President 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

Verify at the official NPI Registry.