NPIMap

Organization Active NPI

Lifetime Home Health Care Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1912166497
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETIME HOME HEALTH CARE CORP
Practice address
13335 SW 124TH St Ste 103
Miami, FL 33186-7513
Phone
(305) 412-9070
Fax
(305) 412-7773
NPI assigned
Jun 9, 2008
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Albert Carlos Ley Jr.
Title
Administrator
Phone
(305) 412-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

13335 SW 124TH St Ste 103
Miami, FL 33186-7513

Mailing address

13335 SW 124TH St Ste 103
Miami, FL 33186-7513
Phone (305) 412-9070

Other identifiers 1

IdentifierTypeStateIssuer
112988100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000481 FL Part A Provider - Home Health Agency 4789748203 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912166497. Details of each certification follow.

Home health agency certification: CCN 109383

Legal name
LIFETIME HOME HEALTH CARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2009
Last certification
Jun 25, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 28, 2008 in FL
Enrollment address
13335 SW 124TH St
Ste 103
Miami, FL 33186-7513
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifetime Home Health Care CorpCCN 109383 · All quality measures
Ownership
Proprietary
Certified
Sep 9, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1087967Lifetime Home Health Care Corp13335 SW 124TH Street, Ste 103, Miami, FL 33186Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Locations

8785 SW 165th Ave
Ste 107A
Miami, FL 33193
Phone (305) 412-9070

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
Alberto Ley Individual 5% Or Greater Direct Ownership InterestManagerial Nov 1, 2008 100%
Corporate Officer Apr 23, 2020 100%
Operational/Managerial ControlCeo Apr 23, 2008 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1912166497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867513",
            "telephone_number": "305-412-9070",
            "fax_number": "305-412-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867513",
            "telephone_number": "305-412-9070",
            "fax_number": "305-412-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOME HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "LEY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-412-9070",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112988100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.