CLT Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLT HOME CARE, INC.

Practice address

1281 NW 6TH St
Suite D1
Miami, FL 33125-4719

Phone

(305) 547-2220

Fax

(305) 547-2221

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ofelia Rey-Tsimogiannis

Title

President

Phone

(305) 547-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871797522. Details of each certification follow.

• CCN 109082 Home health agency · Active · Details

Home health agency certification: CCN 109082

Legal name

CLT HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 9, 2008

Last certification

Aug 14, 2014

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 5, 2006 in FL

Enrollment address

1281 NW 6 Street
Suite D1
Miami, FL 33125-4719

Listed as

CLT Home Care IncCCN 109082 · All quality measures

Ownership

Proprietary

Certified

Oct 9, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Marisol Bennett, APRN

  • Gerontology Nurse Practitioner
  • Cutler Bay, FL
  • NPI 1457905622

  Home health agency

  Care Compare affiliation
• Lisette Portes, MD

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1508137670

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871797522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 NW 6TH ST",
            "address_2": "SUITE D1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254719",
            "telephone_number": "305-547-2220",
            "fax_number": "305-547-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 NW 6TH ST",
            "address_2": "SUITE D1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254719",
            "telephone_number": "305-547-2220",
            "fax_number": "305-547-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REY-TSIMOGIANNIS",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-547-2220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.