Organization Active NPI

A1 America Home Health Agency, Inc.

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1790170959
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A1 AMERICA HOME HEALTH AGENCY, INC.
Practice address
2454 Winkler Ave
Fort Myers, FL 33901-9266
Phone
(239) 221-8410
Fax
(239) 465-4510
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Ms. Gina A Garcia Guerra
Title
Ceo
Phone
(239) 221-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2454 Winkler Ave
Fort Myers, FL 33901-9266

Mailing address

2454 Winkler Ave
Fort Myers, FL 33901-9266
Phone (239) 221-8410

Other identifiers 1

IdentifierTypeStateIssuer
016310200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Home health agency certification: CCN 10K095

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
A1 AMERICA HOME HEALTH AGENCY, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 20, 2016
Last certification
Jun 20, 2016
Ownership / control type
Proprietary
Facility address
2454 Winkler Ave
Fort Myers, FL 33901

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
10D2095532A1 America Home Health Agency Inc2454 Winkler Avenue, Fort Myers, FL 33901Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

11100 Bonita Beach Rd SE
Unit 103B
Bonita Springs, FL 34135
Phone (239) 221-8410

2454 Winkler Ave
Fort Myers, FL 33901
Phone (239) 936-3866

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1790170959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019266",
            "telephone_number": "239-221-8410",
            "fax_number": "239-465-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019266",
            "telephone_number": "239-221-8410",
            "fax_number": "239-465-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 AMERICA HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA GUERRA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-221-8410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016310200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.