MDT Home Health Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992744 Issued in FL

Legal business name

MDT HOME HEALTH CARE AGENCY, INC.

Practice address

8672 SW 40TH St
Suite# 200
Miami, FL 33155-3265

Phone

(305) 644-2100

Fax

(305) 644-2910

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Madeleidys Del Toro, BBA

Title

Cfo

Phone

(305) 644-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109229

Legal name

MDT HOME HEALTH CARE AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 22, 2009

Last certification

Feb 20, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 15, 2006 in FL

Enrollment address

8672 Bird Rd 200
Miami, FL 33155-3265

Listed as

MDT Home Health Care Agency IncCCN 109229

Ownership

Proprietary

Certified

Apr 22, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1750573259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 SW 40TH ST",
            "address_2": "SUITE# 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553265",
            "telephone_number": "305-644-2100",
            "fax_number": "305-644-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8672 SW 40TH ST",
            "address_2": "SUITE# 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553265",
            "telephone_number": "305-644-2100",
            "fax_number": "305-644-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDT HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "DEL TORO",
        "authorized_official_first_name": "MADELEIDYS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-644-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDR Dental Corp.
• MDR Medical Center Inc
• MDRS Medical Services Corp
• MDS of South Florida PA
• MDS of South Florida, LLC
• Me&D Abilities Support Inc
• Meadow Wood Manor LLC.
• Meadow Wood Manor Sect 3, Inc.
• Mark Everett Meadows, RRT
• Meagan Academic Center

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.

Verify at the official NPI Registry.