Active NPI
I & S Home Health Agency, Inc.
- Home Health Agency
- Miami, FL
National Provider Identifier
1740310341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992653
- Legal business name
- I & S HOME HEALTH AGENCY, INC.
- Practice address
- 11180 W Flagler St
Suite 15
Miami, FL 33174-1216 - Phone
- (305) 551-2901
- Fax
- (305) 551-2902
- NPI assigned
- Mar 6, 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
- David Andreu
- Title
- Director/Cfo
- Phone
- (305) 551-2901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Home Health Agency | 251E00000X | 299992653 | FL | Primary |
Addresses
Primary practice location
11180 W Flagler St
Suite 15
Miami, FL 33174-1216
Mailing address
11180 W Flagler St
Suite 15
Miami, FL 33174-1216
Phone (305) 551-2901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109079 | Other | FL | MEDICARE PTAN |
| 113729000 | 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 |
|---|---|---|---|---|
| O20071221000505 | FL | Part A Provider - Home Health Agency | 0345330726 | Practice locations: Miami, FL |
Home health agency certification: CCN 109079
- Legal name
- I & S HOME HEALTH AGENCY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 27, 2008
- Last certification
- Jul 31, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 11, 2006 in FL
- Enrollment address
- 11180 West Flagler St
S-15
Miami, FL 33174-1252
Care Compare: Home health agency
Medicare Care Compare- Listed as
- I & S Home Health Agency Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 27, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- I S Home Health Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Miami, FL
- NPI 1770221806
Locations
11180 W Flagler St
#S15
Miami, FL 33174
Phone (305) 551-2901
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adiaris Valle | W-2 Managing Employee | Mar 4, 2020 | |
| David Andreu | 5% Or Greater Direct Ownership Interest | May 30, 2012 | 100% |
| Corporate Director | Jan 12, 2011 | ||
| W-2 Managing Employee | Jan 12, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1841206000
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1740310341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11180 W FLAGLER ST",
"address_2": "SUITE 15",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741216",
"telephone_number": "305-551-2901",
"fax_number": "305-551-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 W FLAGLER ST",
"address_2": "SUITE 15",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741216",
"telephone_number": "305-551-2901",
"fax_number": "305-551-2902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I & S HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "ANDREU",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR/CFO",
"authorized_official_telephone_number": "305-551-2901"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299992653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "109079",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113729000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.