NPIMap

Organization Active NPI

Angels Home Care Agency, Inc.

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1710135587
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993463 Issued in FL
Legal business name
ANGELS HOME CARE AGENCY, INC.
Practice address
3600 S State Road 7
Ste 14
Miramar, FL 33023-5289
Phone
(954) 966-0320
Fax
(954) 966-0321
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Mr. Joaquin Rosello, RN
Title
Owner/Don
Phone
(954) 966-0320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993463 FL Primary

Addresses

Primary practice location

3600 S State Road 7
Ste 14
Miramar, FL 33023-5289

Mailing address

3600 S State Road 7 Ste 14
Miramar, FL 33023-5288
Phone (954) 966-0320

Other names 1

  • Angels Home care Agency Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000264 FL Part A Provider - Home Health Agency 3971656232 Practice locations: Miramar, FL

Home health agency certification: CCN 109631

Legal name
ANGELS HOME CARE AGENCY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 2010
Last certification
Jul 3, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 26, 2008 in FL
Enrollment address
3600 South State Road 7
Suite 14
Miramar, FL 33023-5288

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Home Care Agency IncCCN 109631
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 8, 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
10D1091478Angels Home Care Agency3600 S State Rd Seven Suite 14, Miramar, FL 33023Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

3600 S State Road 7
Ste 14
Miramar, FL 33023
Phone (954) 966-0320

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.

NameRoleSinceShare
Joaquin Rosello Individual 5% Or Greater Direct Ownership InterestOwner Mar 26, 2024 50%
Corporate OfficerVice President Mar 26, 2024 50%
W-2 Managing EmployeeDon/Alt Adm/Cfo/RN Apr 4, 2024 50%
Norma San Juan Individual 5% Or Greater Direct Ownership InterestAdm Mar 26, 2024 50%
Corporate OfficerPresident Mar 26, 2024 50%
W-2 Managing EmployeeAd; Jun 5, 2009 50%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1710135587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7 STE 14",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235288",
            "telephone_number": "954-966-0320",
            "fax_number": "954-966-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7",
            "address_2": "STE 14",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235289",
            "telephone_number": "954-966-0320",
            "fax_number": "954-966-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "OWNER/DON",
        "authorized_official_telephone_number": "954-966-0320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Home care Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.