Organization Active NPI

Arbor Home Health Care LLC

  • Home Health Agency
  • Cape Coral, FL
National Provider Identifier
1790459097
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARBOR HOME HEALTH CARE LLC
Practice address
1406 SE 46TH LN Ste 3
Cape Coral, FL 33904-8684
Phone
(239) 734-2018
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Mrs. Joann Farmer
Title
Administrator
Phone
(239) 734-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1406 SE 46TH LN Ste 3
Cape Coral, FL 33904-8684

Mailing address

1406 SE 46TH LN Ste 3
Cape Coral, FL 33904-8684
Phone (239) 734-2018

Other names 1

  • Arbor Home Health Care LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429001015 FL Part A Provider - Home Health Agency 5799172300 Practice locations: Cape Coral, FL

Home health agency certification: CCN 687199

Legal name
ARBOR HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 12, 2022
Last certification
Sep 9, 2022
Organization structure
LLCProprietary
Incorporated
May 24, 2021 in FL
Enrollment address
1406 SE 46TH LN
Ste 3
Cape Coral, FL 33904-8684
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arbor Home Health Care LLCCCN 687199 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Sep 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2244355Arbor Home Health Care LLC1406 SE 46TH Lane Unit 3, Cape Coral, FL 33904Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

1406 SE 46th Ln
Ste 3
Cape Coral, FL 33904
Phone (239) 734-2018

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
Marcos L Porras Individual Contracted Managing EmployeeOwner May 24, 2021 33%
5% Or Greater Direct Ownership InterestOwner May 24, 2021 33%
Corporate OfficerOwner May 24, 2021 33%
W-2 Managing EmployeeOwner May 24, 2021 33%
Operational/Managerial ControlOwner May 24, 2021 33%
Daimari Valero Individual Contracted Managing EmployeeOwner May 24, 2021 33%
5% Or Greater Direct Ownership InterestOwner May 24, 2021 33%
Corporate OfficerOwner May 24, 2021 33%
Corporate DirectorOwner May 24, 2021 33%
W-2 Managing EmployeeOwner May 24, 2021 33%
Operational/Managerial ControlOwner May 24, 2021 33%
Joann Ellis Individual Contracted Managing EmployeeOwner May 24, 2021 33%
5% Or Greater Direct Ownership InterestOwner May 24, 2021 33%
Corporate OfficerOwner May 24, 2021 33%
W-2 Managing EmployeeOwner May 24, 2021 33%
Operational/Managerial ControlOwner May 24, 2021 33%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1790459097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SE 46TH LN STE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048684",
            "telephone_number": "239-734-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SE 46TH LN STE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048684",
            "telephone_number": "239-734-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-734-2018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Home Health Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.