Organization Active NPI

Boris Home Health Care Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1821740994
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BORIS HOME HEALTH CARE INC
Practice address
1400 SW 27TH Ave Ste 102
Miami, FL 33145-1239
Phone
(305) 209-8847
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Naylam Rosellon, APRNNPI 1598133019
Title
President
Phone
(305) 333-0575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1400 SW 27TH Ave Ste 102
Miami, FL 33145-1239

Mailing address

5905 SW 28TH St
Miami, FL 33155-3105
Phone (305) 209-8847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728003597 FL Part A Provider - Home Health Agency 2860874476 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821740994. Details of each certification follow.

Home health agency certification: CCN 687227

Legal name
BORIS HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 2022
Last certification
Oct 27, 2022
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2021 in FL
Enrollment address
1400 SW 27TH Ave
Ste 102
Miami, FL 33145-1239

Care Compare: Home health agency

Medicare Care Compare
Listed as
Boris Home Health Care IncCCN 687227 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Nov 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Naylam Rosellon Individual 5% Or Greater Direct Ownership InterestOwner Nov 16, 2021 100%
Corporate OfficerAdministrator Mar 17, 2022 100%
W-2 Managing EmployeeAdministrator Mar 17, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1821740994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 SW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553105",
            "telephone_number": "305-209-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SW 27TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451239",
            "telephone_number": "305-209-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ROSELLON",
        "authorized_official_first_name": "NAYLAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-333-0575",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.