Organization Active NPI

First Care Home Services, Inc.

  • Home Health Agency
  • North Miami Beach, FL
National Provider Identifier
1851453963
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992562 Issued in FL
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

Updated by the provider on Sep 11, 2023

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)CodeLicenseStatePrimary
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 FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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
CorporationProprietary
Incorporated
Jun 1, 2003 in FL
Enrollment address
351 S Cypress Rd
Ste 408
Pompano Beach, FL 33060-7172
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Care Home Services IncCCN 109140
Ownership
Proprietary
Certified
Jan 9, 2009
Medicare certification status
ActiveFrom the Provider of Services file
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 IncCCN 687229
Ownership
-
Certified
Jun 9, 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
10D1062583First Care Home Services Inc2040 NE 163 St #303, North Miami Beach, FL 33162Certificate of waiverNov 8, 2027
10D2138359First Care Home Services, Inc351 South Cypress Road Ste 408, Pompano Beach, FL 33060Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
First Care Home Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Samantha Smith Oldfield Individual Corporate DirectorDirector of Nursing Jan 3, 2022
W-2 Managing EmployeeDirector of Nursing Jan 3, 2022
Lisia McLean Individual 5% Or Greater Direct Ownership Interest Jun 20, 2003 100%
Corporate OfficerAdministrator Mar 20, 2014 100%
Corporate DirectorAdministrator Mar 20, 2014 100%
W-2 Managing EmployeeAdministrator Mar 20, 2014 100%
Operational/Managerial ControlCeo Jun 19, 2003 100%
5% Or Greater Direct Ownership InterestPresident, Director of Nursing Jun 1, 2003 100%
Corporate OfficerPresident, Director of Nursing Jun 1, 2003 100%
Corporate DirectorPresident, Director of Nursing Jun 1, 2003 100%
W-2 Managing EmployeePresident, Director of Nursing Jun 1, 2003 100%
Claudia McLean Individual Corporate DirectorAlternate Administrator Mar 20, 2014 100%
W-2 Managing EmployeeAlternate Administrator Mar 20, 2014 100%
Operational/Managerial ControlAlternate Administrator Mar 20, 2014 100%
Corporate OfficerAlt. Administrator Feb 1, 2017
Corporate DirectorAlt. Administrator Feb 1, 2017
W-2 Managing EmployeeAlt. Administrator Feb 1, 2017
First Care Home Services, Inc. Organization, North Miami Beach, FL Corporation 5% Or Greater Direct Ownership Interest Jun 19, 2003 100%
Diana McLean Individual Corporate OfficerAdministrator Feb 7, 2018
Corporate DirectorAdministrator Feb 7, 2018
W-2 Managing EmployeeAdministrator 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

Verify at the official NPI Registry.