Organization Active NPI

Loyalty Health Services Inc

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1821456021
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOYALTY HEALTH SERVICES INC
Practice address
175 Fontainebleau Blvd Ste 1R9
Miami, FL 33172-4511
Phone
(786) 870-5958
Fax
(786) 558-4939
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Aimee Gonzalez
Title
Owner
Phone
(786) 344-9271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1R9
Miami, FL 33172-4511

Mailing address

175 Fontainebleau Blvd Ste 1R9
Miami, FL 33172-4511
Phone (786) 870-5958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830004252 FL Part A Provider - Home Health Agency 2668856212 Practice locations: Miami, FL

Home health agency certification: CCN 687231

Legal name
LOYALTY HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 20, 2022
Last certification
Nov 17, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 20, 2015 in FL
Enrollment address
175 Fontainebleau Blvd
Ste 1R9
Miami, FL 33172-4511
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Loyalty Health Services IncCCN 687231 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Nov 20, 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
10D2247378Loyalty Health Services, Inc175 Fontainebleau Boulevard Suite 1R9, Miami, FL 33172Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

175 Fontainebleau Blvd
Ste IR9
Miami, FL 33172

175 Fontainebleau Blvd
Ste 1R9
Miami, FL 33172
Phone (786) 343-7200

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Almee Gonzalez Individual 5% Or Greater Direct Ownership InterestOwner Aug 21, 2015 100%
Corporate OfficerOwner Aug 20, 2015 100%
W-2 Managing EmployeeOwner Aug 20, 2015 100%
Operational/Managerial ControlOwner Aug 20, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1821456021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-870-5958",
            "fax_number": "786-558-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-870-5958",
            "fax_number": "786-558-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-344-9271"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.