Organization Active NPI

Sunreef Home Care, LLC

  • Home Health Agency
  • Sunrise, FL
National Provider Identifier
1770213985
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNREEF HOME CARE, LLC
Practice address
7771 W Oakland Park Blvd Ste 150
Sunrise, FL 33351-6705
Phone
(954) 507-8690
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Nestor Plana
Title
Ceo
Phone
(305) 262-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7771 W Oakland Park Blvd Ste 150
Sunrise, FL 33351-6705

Mailing address

4601 NW 77TH Ave
Miami, FL 33166-6449
Phone (305) 292-1292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221208000526 FL Part A Provider - Home Health Agency 8224407507 Practice locations: Sunrise, FL

Home health agency certification: CCN 107073

Legal name
SUNREEF HOME CARE, LLC
Doing business as
INDEPENDENT LIVING HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1970
Last certification
Jul 15, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 24, 2022 in FL
Enrollment address
7771 W Oakland Park Blvd
Ste 150
Sunrise, FL 33351-6705

Care Compare: Home health agency

Medicare Care Compare
Listed as
Independent Living Home HealthCCN 107073 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jul 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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
10D2274562Sunreef Home Care LLC7771 W Oakland Park Boulevard Suite 150, Sunrise, FL 33351Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ils HHA of Palm Beach LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Oak Ils Blocker Corp Organization, Miami, FL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 26, 2022 23.89%
Nancy Thompson Individual W-2 Managing EmployeeAdministrator Sep 26, 2022 100%
Operational/Managerial ControlAdministrator Sep 26, 2022 100%
Independent Living Systems LLC Organization, Miami, FL LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Aug 31, 2023 100%
Mansa Capital Fund I LP Organization, North Andover, MA For-profit Limited Partnership Interest Aug 31, 2023 9.27%
Maureen Lillis Individual Contracted Managing EmployeeChief Clinical Transformation of Sep 26, 2022
Corporate OfficerChief Clinical Transformation of Sep 26, 2022
Operational/Managerial ControlChief Clinical Transformation of Sep 26, 2022
Julienne Previl Individual W-2 Managing EmployeeDirector of Nursing Mar 30, 2024 50%
David Allen Rogers Individual Corporate Director Sep 26, 2022 25%
Nestor Plana Individual Contracted Managing EmployeeCeo Sep 26, 2022 100%
5% Or Greater Indirect Ownership Interest Sep 26, 2022 77.21%
Corporate OfficerBoard Member Sep 26, 2022 100%
Corporate DirectorBoard Member Sep 26, 2022
Fordham Holdings, Inc Organization, Miami, FL Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 31, 2023 78.31%
Leo T Thomas Individual Contracted Managing EmployeeChief Financial Officer Sep 26, 2022
Corporate OfficerChief Financial Officer Sep 26, 2022 50%
Operational/Managerial ControlChief Financial Officer Sep 26, 2022 50%
Indlivsys Holding Company, LLC Organization, Miami, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 31, 2023 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Sep 26, 2022 Change of OwnershipThis provider was the buyer Broward Health Home Health and HospiceCCN 107073, FL, NPI 1932144755

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1770213985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666449",
            "telephone_number": "305-292-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 W OAKLAND PARK BLVD STE 150",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516705",
            "telephone_number": "954-507-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNREEF HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PLANA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-262-1292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.