Active NPI
Assured Home Health, Inc
- Home Health Agency
- Miami Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114591700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Jan 28, 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 |
|---|---|---|---|
| 10D2258072 | Assured Home Health, Inc | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bertha M Hernandez | Corporate Officer | Aug 5, 2019 | 50% |
| Operational/Managerial Control | Aug 5, 2019 | 50% | |
| Luis Hernadez | Corporate Officer | Aug 5, 2019 | 50% |
| Operational/Managerial Control | Aug 5, 2019 | 50% | |
| Assured Home Health Holdings Inc | 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.
-
- Gerontology Nurse Practitioner
- Miami Springs, FL
- NPI 1174230429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.