Elderly Health Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20321096 Issued in FL

Legal business name

ELDERLY HEALTH HOME CARE INC

Practice address

665 Miller Dr
Miami Springs, FL 33166-6115

Phone

(305) 884-6137

Fax

(305) 884-6395

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Yamiles Valdes

Title

Administrator

Phone

(305) 884-6137

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108052

Legal name

ELDERLY HEALTH HOME CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 13, 2004

Last certification

Dec 17, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 5, 1993 in FL

Enrollment address

665 Miller Drive
Miami Springs, FL 33166-7259

Listed as

Elderly Health Home Care, IncCCN 108052

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Apr 13, 2004

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

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1922052851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 MILLER DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331666115",
            "telephone_number": "305-884-6137",
            "fax_number": "305-884-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MILLER DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331666115",
            "telephone_number": "305-884-6137",
            "fax_number": "305-884-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY HEALTH HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "YAMILES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-884-6137"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20321096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651283600",
            "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 Jan 31, 2012; 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.