Active NPI
Mariela Perez
- Home Health Agency
- Tampa, FL
National Provider Identifier
1831488949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- CNA106677
- Practice address
- 6919 N Thatcher Ave
Tampa, FL 33614-3822 - Phone
- (813) 516-1605
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CNA106677 | FL | Primary |
Addresses
Primary practice location
6919 N Thatcher Ave
Tampa, FL 33614-3822
Mailing address
PO Box 260161
Tampa, FL 33685-0161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693201101 | Medicaid | FL | |
| 693201196/693201198 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA106677 | FL | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenix Home Health Services Inc | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Tampa, FL
- NPI 1023989951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1831488949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260161",
"city": "TAMPA",
"state": "FL",
"postal_code": "336850161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6919 N THATCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143822",
"telephone_number": "813-516-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "CNA106677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693201101",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693201196/693201198",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.