Caring at Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993226 Issued in FL

Legal business name

CARING AT HOME HEALTHCARE, LLC

Practice address

150 NW 70TH Ave
Suite 9
Plantation, FL 33317

Phone

(954) 642-2274

Fax

(786) 272-1712

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Myriam Jean-Jacques, ADMINISTRATOR, LPN,

Title

Administrator

Phone

(954) 642-2274

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109486

Legal name

CARING AT HOME HEALTHCARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 24, 2010

Last certification

May 1, 2016

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 19, 2007 in FL

Enrollment address

150 NW 70TH Ave
Suite 9
Plantation, FL 33317-2911

Listed as

Caring at Home Healthcare, LLCCCN 109486

Ownership

Proprietary

Certified

Feb 24, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1902062953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NW 70TH AVE",
            "address_2": "SUITE 9",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-642-2274",
            "fax_number": "786-272-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NW 70TH AVE",
            "address_2": "SUITE 9",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-642-2274",
            "fax_number": "786-272-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING AT HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "JEAN-JACQUES",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-642-2274",
        "authorized_official_credential": "ADMINISTRATOR, LPN,"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "299993226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.