Quality Life Home Health Agency Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299993507 Issued in FL

Legal business name

QUALITY LIFE HOME HEALTH AGENCY CORP

Practice address

1443 Del Prado Blvd S Ste D
Cape Coral, FL 33990-3750

Phone

(239) 829-0814

Fax

(239) 829-0822

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Addys M. Ruiz

Title

President

Phone

(239) 829-0814

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109603

Legal name

QUALITY LIFE HOME HEALTH AGENCY CORP.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 26, 2010

Last certification

Aug 2, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 29, 2008 in FL

Enrollment address

1443 Del Prado Blvd S
Ste D
Cape Coral, FL 33990-3750

Listed as

Quality Life Home Health Agency CorpCCN 109603

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Oct 26, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Juan Antonio Carmona, MD

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1083153761

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1912159963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 DEL PRADO BLVD S STE D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903750",
            "telephone_number": "239-829-0814",
            "fax_number": "239-829-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 DEL PRADO BLVD S STE D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903750",
            "telephone_number": "239-829-0814",
            "fax_number": "239-829-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE HOME HEALTH AGENCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ADDYS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-829-0814",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299993507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "109603",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puzzle Therapy Services, Inc.
• Barbara D Pyatt, OT
• Jiatian Qu
• Quality and Safety Transport
• Quality Health & Life Clinic LLC
• Quality Med Supply Inc
• Quality Speech Therapy Services, LLC
• Gabriela Querol
• Jeanne Marie Noguera Querubin
• Maricarla Quesada Ayala

• Home Health Agency in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.