Active NPI
Silveroak Home Health Care Service Inc
- Home Health Agency
- Miami, FL
National Provider Identifier
1881705705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA21065096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650718201 | Other | FL | PAC WAIVER |
| 650718200 | Medicaid | FL | |
| 685115179 | Other | FL | H & C BASED SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 6, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nestor Rodriguez | 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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1255938437
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.