Vida Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VIDA HOME HEALTH SERVICES LLC

Practice address

6001 NW 153Rd St Ste 140
Miami Lakes, FL 33014-2475

Phone

(786) 542-5164

Fax

(786) 206-7740

NPI assigned

Mar 26, 2021

Last updated

May 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Pena Rodriguez

Title

Don

Phone

(786) 542-5164

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770160681. Details of each certification follow.

• CCN 687164 Home health agency · Active · Details

Home health agency certification: CCN 687164

Legal name

VIDA HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 21, 2022

Last certification

Mar 4, 2022

Organization structure

LLCProprietary

Incorporated

Jan 18, 2021 in FL

Enrollment address

6001 NW 153Rd St
Ste 140
Miami Lakes, FL 33014-2475
HHA Branch

Listed as

Vida Home Health Services LLCCCN 687164 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Mar 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 5

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

• Rafael Abreu, M.D

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1265769822

  Home health agency

  Care Compare affiliation
• Damian Lazaro Betancourt, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1669139176

  Home health agency

  Care Compare affiliation
• Eduardo Fuentes Blanco, MD

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1841791688

  Home health agency

  Care Compare affiliation
• Agustin Martinez, M.D.

  • General Practice Physician
  • Hialeah, FL
  • NPI 1194762427

  Home health agency

  Care Compare affiliation
• Marien Perez, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1902374762

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1770160681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 140",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142475",
            "telephone_number": "786-542-5164",
            "fax_number": "786-206-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 140",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142475",
            "telephone_number": "786-542-5164",
            "fax_number": "786-206-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "PENA RODRIGUEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "786-542-5164"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299995350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose D Viana
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• Altagracia Adalgiza Victoria, M.D.
• Vida Med Center LLC
• Vida Mental Health Services Inc
• Marieta Vidal, PHARMD
• Natalie Marie Vidal
• Nicole Vidal

• Home Health Agency in Miami Lakes, FL
• Providers in Miami Lakes, 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 May 1, 2026; 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.