Organization Active NPI

Asa Homecare Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1851398473
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASA HOMECARE INC
Practice address
8700 W Flagler St
Ste-110
Miami, FL 33174-2428
Phone
(305) 229-1400
Fax
(305) 229-1828
NPI assigned
Jun 29, 2005
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mr. Diego A Jimenez
Title
Administrator
Phone
(305) 229-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8700 W Flagler St
Ste-110
Miami, FL 33174-2428

Mailing address

8700 W Flagler St
Ste-110
Miami, FL 33174-2428
Phone (305) 229-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000638 FL Part A Provider - Home Health Agency 7517128036 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851398473. Details of each certification follow.

Home health agency certification: CCN 107644

Legal name
ASA HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 9, 2001
Last certification
Feb 10, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 6, 1994 in FL
Enrollment address
8700 W Flagler St
Ste 110
Miami, FL 33174-2428
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Asa Home Care IncCCN 107644 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
May 9, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D0899317Asa Homecare8700 West Flagler Street #110, Miami, FL 33174Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8700 W Flagler St
Ste 110
Miami, FL 33174
Phone (305) 229-1400

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Diego Jiminez Individual 5% Or Greater Direct Ownership Interest Jan 6, 1994 50%
Danairis Quinones Individual Corporate DirectorDirector of Professional Service Jan 1, 2016
Lissette Grillo Individual Corporate DirectorDirector of Nursing Oct 14, 2019
Dulce Campillo Individual 5% Or Greater Direct Ownership Interest Jan 6, 1994 50%
W-2 Managing Employee Jan 6, 1994
Maria Suri Individual W-2 Managing EmployeeDirector of Professional Service Aug 1, 2018
Mariela Lopez Individual W-2 Managing EmployeeDirector of Nursing. Alt Admin May 1, 2024

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1851398473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST",
            "address_2": "STE-110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742428",
            "telephone_number": "305-229-1400",
            "fax_number": "305-229-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST",
            "address_2": "STE-110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742428",
            "telephone_number": "305-229-1400",
            "fax_number": "305-229-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASA HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-229-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "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.