Active NPI
Vennus Home Health Inc.
- Home Health Agency
- Miami, FL
National Provider Identifier
1902072168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993110
- Legal business name
- VENNUS HOME HEALTH INC.
- Practice address
- 10520 W Flagler St
Miami, FL 33174-1631 - Phone
- (305) 227-8970
- Fax
- (305) 227-8743
- NPI assigned
- May 7, 2008
- Last updated
- Dec 6, 2011
- 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
- Yulexis Arevalo
- Title
- Director
- Phone
- (305) 227-8970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993110 | FL | Primary |
Addresses
Primary practice location
10520 W Flagler St
Miami, FL 33174-1631
Mailing address
10520 W Flagler St
Miami, FL 33174-1631
Phone (305) 227-8970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080909000259 | FL | Part A Provider - Home Health Agency | 7517033988 | Practice locations: Miami, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902072168. Details of each certification follow.
Home health agency certification: CCN 109265
- Legal name
- VENNUS HOME HEALTH INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 30, 2009
- Last certification
- Apr 18, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 19, 2007 in FL
- Enrollment address
- 10520 W Flagler St
Miami, FL 33174-1631
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Vennus Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 30, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Vennus Home Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1790433787
Locations
10520 W Flagler St
Miami, FL 33174
Phone (305) 227-8970
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Norberto Rodriguez | Corporate Officer | Apr 3, 2008 | |
| W-2 Managing Employee | Jul 17, 2008 | ||
| Yulexis Arevalo | 5% Or Greater Direct Ownership Interest | Jul 17, 2008 | |
| Corporate Director | Jul 17, 2008 | ||
| W-2 Managing Employee | Jul 17, 2008 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1902072168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741631",
"telephone_number": "305-227-8970",
"fax_number": "305-227-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741631",
"telephone_number": "305-227-8970",
"fax_number": "305-227-8743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENNUS HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "AREVALO",
"authorized_official_first_name": "YULEXIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "305-227-8970"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993110",
"primary": true
}
],
"identifiers": [],
"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 Dec 6, 2011; 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.