Active NPI
A&B Home Health Inc
- Home Health Agency
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299991828
- Legal business name
- A&B HOME HEALTH INC
- Practice address
- 4431 Davie Rd
Suite 119
Davie, FL 33314-3458 - Phone
- (954) 321-8681
- Fax
- (954) 321-8682
- NPI assigned
- Apr 5, 2006
- Last updated
- Dec 12, 2007
- 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
- Mrs. Bettina S Toledo
- Title
- Administrator
- Phone
- (954) 321-8681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA299991828 | FL | Primary |
Addresses
Primary practice location
4431 Davie Rd
Suite 119
Davie, FL 33314-3458
Mailing address
4431 Davie Rd
Suite 119
Davie, FL 33314-3458
Phone (954) 321-8681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651038800 | Medicaid | FL | |
| 690273179 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060308000066 | FL | Part A Provider - Home Health Agency | 9436045143 | Practice locations: Davie, FL |
| O20100615000642 | FL | Part A Provider - Home Health Agency | 9436045143 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami Lakes, FL |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1710949649. Details of each certification follow.
Home health agency certification: CCN 108075
- Legal name
- A&B HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 15, 2004
- Last certification
- Apr 19, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 21, 2003 in FL
- Enrollment address
- 4431 Davie Rd
Ste 119
Davie, FL 33314-3458
Home health agency certification: CCN 109672
- Legal name
- A&B HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 28, 2011
- Last certification
- Jan 24, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 21, 2003 in FL
- Enrollment address
- 6169 Miami Lakes Drive East
Miami Lakes, FL 33014-2408
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
- A & B Home Health Inc
- Ownership
- Proprietary
- Certified
- Jul 15, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Care Compare: Home health agency
Medicare Care Compare- Listed as
- A & B Home Health Inc
- Ownership
- Proprietary
- Certified
- Feb 28, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4431 Davie Rd
Ste 119
Davie, FL 33314
Phone (954) 321-8681
6169 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 819-6790
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Detorres Health LLC | 5% Or Greater Direct Ownership Interest | Aug 18, 2020 | 50% |
| Asier Torres | 5% Or Greater Direct Ownership Interest | Nov 5, 2008 | 50% |
| 5% Or Greater Mortgage Interest | Mar 7, 2008 | 50% | |
| 5% Or Greater Security Interest | Mar 7, 2008 | 50% | |
| General Partnership Interest | Mar 7, 2008 | 50% | |
| Corporate Officer | Mar 7, 2008 | 50% | |
| Corporate Director | Mar 7, 2008 | 50% | |
| W-2 Managing Employee | Mar 7, 2008 | ||
| Operational/Managerial Control | Mar 7, 2008 | 50% | |
| 5% Or Greater Direct Ownership Interest | Nov 5, 2008 | 50% | |
| 5% Or Greater Mortgage Interest | Nov 5, 2008 | 50% | |
| 5% Or Greater Security Interest | Nov 5, 2008 | 50% | |
| General Partnership Interest | Nov 5, 2008 | 50% | |
| Corporate Officer | Nov 5, 2008 | 50% | |
| Corporate Director | Nov 5, 2008 | 50% | |
| W-2 Managing Employee | Nov 5, 2008 | ||
| Operational/Managerial Control | Nov 5, 2008 | 50% | |
| Maelys Brena | 5% Or Greater Indirect Ownership Interest | Aug 18, 2020 | 50% |
| Corporate Officer | Aug 18, 2020 | 50% | |
| Corporate Director | Aug 18, 2020 | 50% | |
| 5% Or Greater Direct Ownership Interest | Aug 15, 2020 | 50% | |
| 5% Or Greater Mortgage Interest | Aug 15, 2020 | 50% | |
| 5% Or Greater Security Interest | Aug 15, 2020 | 50% | |
| General Partnership Interest | Aug 15, 2020 | 50% | |
| Corporate Officer | Aug 15, 2020 | 50% | |
| Corporate Director | Aug 15, 2020 | 50% | |
| W-2 Managing Employee | Aug 15, 2020 | 50% | |
| Operational/Managerial Control | Aug 15, 2020 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1710949649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 DAVIE RD",
"address_2": "SUITE 119",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143458",
"telephone_number": "954-321-8681",
"fax_number": "954-321-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 DAVIE RD",
"address_2": "SUITE 119",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143458",
"telephone_number": "954-321-8681",
"fax_number": "954-321-8682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A&B HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "TOLEDO",
"authorized_official_first_name": "BETTINA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-321-8681",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA299991828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651038800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690273179",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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- Aaaa Behavior Solution Services LLC
- Aam Quality Services, Corp.
- Aanmd
- Esthefannie Abarca
- Adara C Abdalah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.