Active NPI
First Care Home Services, Inc.
- Home Health Agency
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992562
- Legal business name
- FIRST CARE HOME SERVICES, INC.
- Practice address
- 2040 NE 163Rd St
#303
North Miami Beach, FL 33162-4951 - Phone
- (305) 945-9025
- Fax
- (305) 945-9022
- NPI assigned
- Dec 14, 2006
- 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
- Claudia McLean
- Title
- Administrator
- Phone
- (305) 945-9025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992562 | FL | Primary |
Addresses
Primary practice location
2040 NE 163Rd St
#303
North Miami Beach, FL 33162-4951
Mailing address
PO Box 640342
Miami, FL 33164-0342
Phone (305) 945-9025
Other practice location 1
351 S Cypress Rd Ste 408
Pompano Beach, FL 33060-7172
Phone (305) 945-9025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071008000207 | FL | Part A Provider - Home Health Agency | 9133214018 | Practice locations: North Miami Beach, FL |
| O20211207001530 | FL | Part A Provider - Home Health Agency | 9133214018 | Practice locations: Pompano Beach, FL |
Home health agency certification: CCN 109140
- Legal name
- FIRST CARE HOME SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 9, 2009
- Last certification
- Mar 12, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 20, 2003 in FL
- Enrollment address
- 2040 NE 163 St
#303
North Miami Beach, FL 33162-4941
Home health agency certification: CCN 687229
- Legal name
- FIRST CARE HOME SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 9, 2022
- Last certification
- Jun 9, 2022
- Organization structure
- Corporation
- Incorporated
- Jun 1, 2003 in FL
- Enrollment address
- 351 S Cypress Rd
Ste 408
Pompano Beach, FL 33060-7172
Care Compare: Home health agency
Medicare Care Compare- Listed as
- First Care Home Services Inc
- Ownership
- Proprietary
- Certified
- Jan 9, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Care Compare: Home health agency
Medicare Care Compare- Listed as
- First Care Home Services Inc
- Ownership
- -
- Certified
- Jun 9, 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 |
|---|---|---|---|
| 10D1062583 | First Care Home Services Inc | Certificate of waiver | Nov 8, 2027 |
| 10D2138359 | First Care Home Services, Inc | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- First Care Home Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- North Miami Beach, FL
- NPI 1366403362
Locations
351 S Cypress Rd
Ste 408
Pompano Beach, FL 33060
Phone (305) 945-9025
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Samantha Smith Oldfield | Corporate Director | Jan 3, 2022 | |
| W-2 Managing Employee | Jan 3, 2022 | ||
| Lisia McLean | 5% Or Greater Direct Ownership Interest | Jun 20, 2003 | 100% |
| Corporate Officer | Mar 20, 2014 | 100% | |
| Corporate Director | Mar 20, 2014 | 100% | |
| W-2 Managing Employee | Mar 20, 2014 | 100% | |
| Operational/Managerial Control | Jun 19, 2003 | 100% | |
| 5% Or Greater Direct Ownership Interest | Jun 1, 2003 | 100% | |
| Corporate Officer | Jun 1, 2003 | 100% | |
| Corporate Director | Jun 1, 2003 | 100% | |
| W-2 Managing Employee | Jun 1, 2003 | 100% | |
| Claudia McLean | Corporate Director | Mar 20, 2014 | 100% |
| W-2 Managing Employee | Mar 20, 2014 | 100% | |
| Operational/Managerial Control | Mar 20, 2014 | 100% | |
| Corporate Officer | Feb 1, 2017 | ||
| Corporate Director | Feb 1, 2017 | ||
| W-2 Managing Employee | Feb 1, 2017 | ||
| First Care Home Services, Inc. | 5% Or Greater Direct Ownership Interest | Jun 19, 2003 | 100% |
| Diana McLean | Corporate Officer | Feb 7, 2018 | |
| Corporate Director | Feb 7, 2018 | ||
| W-2 Managing Employee | Feb 7, 2018 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1851453963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640342",
"city": "MIAMI",
"state": "FL",
"postal_code": "331640342",
"telephone_number": "305-945-9025",
"fax_number": "305-945-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 NE 163RD ST",
"address_2": "#303",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624951",
"telephone_number": "305-945-9025",
"fax_number": "305-945-9022"
}
],
"practiceLocations": [
{
"address_1": "351 S Cypress Rd Ste 408",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330607172",
"country_code": "US",
"telephone_number": "305-945-9025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FIRST CARE HOME SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-945-9025"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299992562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.