Organization Active NPI

Silveroak Home Health Care Service Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1881705705
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA21065096 Issued in FL
Legal business name
SILVEROAK HOME HEALTH CARE SERVICE INC
Practice address
290 NW 165TH St Ste P100
Miami, FL 33169-6470
Phone
(305) 889-1884
Fax
(305) 949-0586
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Johannes Sanchez, MBA
Title
Administrator
Phone
(305) 889-1884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA21065096 FL Primary

Addresses

Primary practice location

290 NW 165TH St Ste P100
Miami, FL 33169-6470

Mailing address

290 NW 165TH St Ste P100
Miami, FL 33169-6470
Phone (305) 889-1884

Other identifiers 3

IdentifierTypeStateIssuer
650718201OtherFLPAC WAIVER
650718200MedicaidFL
685115179OtherFLH & C BASED SERVICES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050617000716 FL Part A Provider - Home Health Agency 3779527940 Practice locations: Miami, FL

Home health agency certification: CCN 108304

Legal name
SILVEROAK HOME HEALTH CARE SERVICE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 2006
Last certification
Oct 2, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 16, 1992 in FL
Enrollment address
290 NW 165TH St
Ste P100
Miami, FL 33169-6470

Care Compare: Home health agency

Medicare Care Compare
Listed as
Silveroak Home Health Care Services IncCCN 108304
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

290 NW 165th St
Ste P100
North Miami Beach, FL 33169
Phone (305) 889-1884

290 NW 165th St
Ste M700
North Miami Beach, FL 33169

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Nestor Rodriguez Individual 5% Or Greater Direct Ownership Interest Apr 18, 2008 100%
Corporate Officer Jun 2, 2014 100%
Corporate Director Jun 2, 2014 100%
W-2 Managing Employee Jun 2, 2014 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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881705705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NW 165TH ST STE P100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696470",
            "telephone_number": "305-889-1884",
            "fax_number": "305-949-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NW 165TH ST STE P100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696470",
            "telephone_number": "305-889-1884",
            "fax_number": "305-949-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVEROAK HOME HEALTH CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-889-1884",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21065096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAC WAIVER",
            "identifier": "650718201",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650718200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H & C BASED SERVICES",
            "identifier": "685115179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.