NPIMap

Organization Active NPI

Nurse One Home Health LLC

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1730422007
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSE ONE HOME HEALTH LLC
Practice address
219 SE 23Rd Ave
Boynton Beach, FL 33435-7619
Phone
(561) 988-0606
Fax
(561) 988-0607
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mr. Matthew Alan Goldberg
Title
Ceo
Phone
(561) 988-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

219 SE 23Rd Ave
Boynton Beach, FL 33435-7619

Mailing address

219 SE 23Rd Ave
Boynton Beach, FL 33435-7619
Phone (561) 988-0606

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Nurse1.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131018000828 FL Part A Provider - Home Health Agency 7315171790 Practice locations: Boynton Beach, FL

Home health agency certification: CCN 683127

Legal name
NURSE ONE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 2014
Last certification
Nov 8, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 20, 2012 in FL
Enrollment address
2240 W Woolbright Rd
Ste 414
Boynton Beach, FL 33426-6367
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nurse One Home Health LLCCCN 683127
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 4, 2014
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
10D2060571Nurse One Home Health LLC2240 W Woolbright Rd Suite 414, Boynton Beach, FL 33426Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

7700 Congress Ave
Ste 2106
Boca Raton, FL 33487
Phone (561) 988-0606

219 SE 23rd Ave
Boynton Beach, FL 33435
Phone (561) 296-2770

2240 W Woolbright Rd
Ste 414
Boynton Beach, FL 33426
Phone (561) 777-7312

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
Matthew Goldberg Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Feb 18, 2020 50%
Corporate DirectorPresident/Ceo Feb 18, 2020 50%
W-2 Managing EmployeePresident/Ceo Feb 18, 2020 50%
Bonnie Goldberg Individual 5% Or Greater Direct Ownership Interest Feb 18, 2020 50%
Corporate DirectorVice President Feb 18, 2020 50%

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1730422007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357619",
            "telephone_number": "561-988-0606",
            "fax_number": "561-988-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357619",
            "telephone_number": "561-988-0606",
            "fax_number": "561-988-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE ONE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-988-0606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Nurse1.com",
            "affiliation": "N",
            "endpointDescription": "Nurse 1 Website",
            "address_1": "219 SE 23rd Ave",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334357619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.