Organization Active NPI

Eagle Eye Home Health Agency LLC

  • Home Health Agency
  • Saint Cloud, FL
National Provider Identifier
1780464552
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 6, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
1341 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-5823

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
10D2307171Eagle Eye Home Health Agency LLC1341 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Djanni Cleiby McMullen Individual 5% Or Greater Direct Ownership Interest Jul 31, 2024 50%
Corporate DirectorAdministrator Jul 31, 2024 50%
Heriberto Nazario Individual 5% Or Greater Direct Ownership InterestCeo Jul 31, 2024 50%
Corporate OfficerManaging Member Sep 25, 2023 50%
W-2 Managing Employee Jul 31, 2024 50%
Beverly Garcia Individual W-2 Managing EmployeeOffice Manager 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

Verify at the official NPI Registry.