Active NPI
Arbor Home Health Care LLC
- Home Health Agency
- Cape Coral, FL
National Provider Identifier
1790459097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- May 24, 2021 in FL
- Enrollment address
- 1406 SE 46TH LN
Ste 3
Cape Coral, FL 33904-8684
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Arbor Home Health Care LLC
- Overall star rating
- Ownership
- -
- Certified
- Sep 12, 2022
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2244355 | Arbor Home Health Care LLC | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marcos L Porras | Contracted Managing Employee | May 24, 2021 | 33% |
| 5% Or Greater Direct Ownership Interest | May 24, 2021 | 33% | |
| Corporate Officer | May 24, 2021 | 33% | |
| W-2 Managing Employee | May 24, 2021 | 33% | |
| Operational/Managerial Control | May 24, 2021 | 33% | |
| Daimari Valero | Contracted Managing Employee | May 24, 2021 | 33% |
| 5% Or Greater Direct Ownership Interest | May 24, 2021 | 33% | |
| Corporate Officer | May 24, 2021 | 33% | |
| Corporate Director | May 24, 2021 | 33% | |
| W-2 Managing Employee | May 24, 2021 | 33% | |
| Operational/Managerial Control | May 24, 2021 | 33% | |
| Joann Ellis | Contracted Managing Employee | May 24, 2021 | 33% |
| 5% Or Greater Direct Ownership Interest | May 24, 2021 | 33% | |
| Corporate Officer | May 24, 2021 | 33% | |
| W-2 Managing Employee | May 24, 2021 | 33% | |
| Operational/Managerial Control | May 24, 2021 | 33% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- North Venice, FL
- NPI 1710376728
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.