NPIMap

Organization Active NPI

Home Nurse Corp.

Doing business as The Palace at Home

  • Home Health Agency
  • Weston, FL
National Provider Identifier
1871586503
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299992165 Issued in FL
Legal business name
HOME NURSE CORP.
Doing business as
The Palace at Home
Practice address
16102 Emerald Estates Dr
Weston, FL 33331-6118
Phone
(954) 349-4855
Fax
(954) 332-9344
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Julio Cesar Chacon
Title
Administrator/General Manager
Phone
(305) 275-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299992165 FL Primary

Addresses

Primary practice location

16102 Emerald Estates Dr
Weston, FL 33331-6118

Mailing address

10850 SW 113TH PL
Miami, FL 33176-3227
Phone (305) 275-2533

Other identifiers 1

IdentifierTypeStateIssuer
HHA299992165OtherFLSTATE OF FLORIDA LICENSE

Other names 1

  • The Palace at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000421 FL Part A Provider - Home Health Agency 6507898160 Practice locations: Weston, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871586503. Details of each certification follow.

Home health agency certification: CCN 108257

Legal name
HOME NURSE CORP.
Doing business as
THE PALACE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 1, 2006
Last certification
Feb 16, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 17, 1996 in FL
Enrollment address
16102 Emerald Estates Drive
Weston, FL 33331-6118

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Palace at HomeCCN 108257 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Feb 1, 2006
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
10D1039910Palace at Home,the16102 Emerald Estates Drive, Weston, FL 33331Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Home Nurse Corp2 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.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Julio Chacon Individual W-2 Managing Employee Oct 1, 2005
Helen Shaham Individual 5% Or Greater Direct Ownership Interest Oct 1, 2005
Jacob Shaham Individual 5% Or Greater Direct Ownership Interest Oct 1, 2004

Practitioners & affiliated clinicians

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1871586503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-275-2533",
            "fax_number": "305-270-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 EMERALD ESTATES DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333316118",
            "telephone_number": "954-349-4855",
            "fax_number": "954-332-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME NURSE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "ADMINISTRATOR/GENERAL MANAGER",
        "authorized_official_telephone_number": "305-275-2533"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA LICENSE",
            "identifier": "HHA299992165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palace at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.