Organization Active NPI

Assured Home Health, Inc

  • Home Health Agency
  • Miami Springs, FL
National Provider Identifier
1881229920
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURED HOME HEALTH, INC
Practice address
4471 NW 36TH Street
Suite 232
Miami Springs, FL 33166-7287
Phone
(786) 391-3913
Fax
(786) 409-7239
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Bertha M. Hernandez
Title
Owner/VP
Phone
(786) 609-7239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4471 NW 36TH Street
Suite 232
Miami Springs, FL 33166-7287

Mailing address

4471 NW 36TH Street
Suite 232
Miami Springs, FL 33166-7287
Phone (786) 663-2112

Other identifiers 1

IdentifierTypeStateIssuer
114591700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201012000155 FL Part A Provider - Home Health Agency 6204256399 Practice locations: Miami Springs, FL

Home health agency certification: CCN 687156

Legal name
ASSURED HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2022
Last certification
Jan 28, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 1, 2019 in FL
Enrollment address
4485 NW 36TH St
Ste 12
Miami Springs, FL 33166-7287

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home Health IncCCN 687156 · All quality measures
Ownership
-
Certified
Jan 28, 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
10D2258072Assured Home Health, Inc4471 NW 36TH St Ste 232, Miami Springs, FL 33166Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

4485 NW 36th St
Ste 12
Miami Springs, FL 33166
Phone (786) 609-7239

4471 NW 36th St
Ste 232
Miami Springs, FL 33166
Phone (786) 391-3913

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
Bertha M Hernandez Individual Corporate OfficerSec Aug 5, 2019 50%
Operational/Managerial ControlSec Aug 5, 2019 50%
Luis Hernadez Individual Corporate OfficerPres Aug 5, 2019 50%
Operational/Managerial ControlPres Aug 5, 2019 50%
Assured Home Health Holdings Inc Organization, Miami Springs, FL Corporation 5% Or Greater Direct Ownership Interest Aug 5, 2019 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1881229920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH STREET",
            "address_2": "SUITE 232",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667287",
            "telephone_number": "786-663-2112",
            "fax_number": "786-391-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH STREET",
            "address_2": "SUITE 232",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667287",
            "telephone_number": "786-391-3913",
            "fax_number": "786-409-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "786-609-7239"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114591700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

Verify at the official NPI Registry.