Active NPI
Eagle Eye Home Health Agency LLC
- Home Health Agency
- Saint Cloud, FL
National Provider Identifier
1780464552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EAGLE EYE HOME HEALTH AGENCY LLC
- Practice address
- 1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823 - Phone
- (407) 593-0497
- NPI assigned
- Sep 29, 2023
- 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
- Mr. Heriberto Nazario
- Title
- Ceo
- Phone
- (609) 851-8332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823
Mailing address
1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823
Phone (407) 593-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250319003627 | FL | Part A Provider - Home Health Agency | 6709308729 | Practice locations: Saint Cloud, FL |
Home health agency certification: CCN 687433
- Legal name
- EAGLE EYE HOME HEALTH AGENCY LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 26, 2025
- Last certification
- Dec 17, 2025
- Organization structure
- LLC
- Enrollment address
- 1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2307171 | Eagle Eye Home Health Agency LLC | Certificate of waiver | Jul 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771
Phone (407) 593-0497
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Djanni Cleiby McMullen | 5% Or Greater Direct Ownership Interest | Jul 31, 2024 | 50% |
| Corporate Director | Jul 31, 2024 | 50% | |
| Heriberto Nazario | 5% Or Greater Direct Ownership Interest | Jul 31, 2024 | 50% |
| Corporate Officer | Sep 25, 2023 | 50% | |
| W-2 Managing Employee | Jul 31, 2024 | 50% | |
| Beverly Garcia | W-2 Managing Employee | Dec 10, 2023 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1780464552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 E IRLO BRONSON MEMORIAL HWY",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347715823",
"telephone_number": "407-593-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 E IRLO BRONSON MEMORIAL HWY",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347715823",
"telephone_number": "407-593-0497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE EYE HOME HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-29",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "NAZARIO",
"authorized_official_first_name": "HERIBERTO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-851-8332",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.