NPIMap

Organization Active NPI

Kaerbear'S Healthcare L.L.C

  • Home Health Agency
  • Deerfield Beach, FL
National Provider Identifier
1922286756
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992666 Issued in FL
Legal business name
KAERBEAR'S HEALTHCARE L.L.C
Practice address
10 Fairway Dr Ste 110
Deerfield Beach, FL 33441-1827
Phone
(954) 923-3060
Fax
(888) 231-2860
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Karen Lynn McGrath, R.NNPI 1821959750
Title
Administrator
Phone
(305) 940-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992666 FL Primary

Addresses

Primary practice location

10 Fairway Dr Ste 110
Deerfield Beach, FL 33441-1827

Mailing address

10 Fairway Dr Ste 110
Deerfield Beach, FL 33441-1827
Phone (954) 923-3060

Other identifiers 1

IdentifierTypeStateIssuer
004149000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000623 FL Part A Provider - Home Health Agency 4789661430 Practice locations: Deerfield Beach, FL

Home health agency certification: CCN 109244

Legal name
KAERBEAR'S HEALTHCARE L.L.C
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 6, 2009
Last certification
Jan 23, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 2, 2004 in FL
Enrollment address
10 Fairway Dr
Ste 110
Deerfield Beach, FL 33441-1827
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kaerbear'S Healthcare LLCCCN 109244
Ownership
Proprietary
Certified
May 6, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Kaerbear'S Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Fairway Dr
Ste 110
Deerfield Beach, FL 33441
Phone (954) 923-3060

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.

NameRoleSinceShare
Kaerbear'S Healthcare L.L.C Organization, Deerfield Beach, FL LLC 5% Or Greater Indirect Ownership Interest Feb 4, 2008
Karen McGrath Individual 5% Or Greater Direct Ownership Interest Feb 4, 2008 100%
Corporate Officer Feb 4, 2008
W-2 Managing Employee Feb 4, 2008

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaerbear'S Healthcare L.L.CMiami, FL, CCN 108137 Home health agency 5% Or Greater Indirect Ownership Interest Feb 4, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1922286756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR STE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411827",
            "telephone_number": "954-923-3060",
            "fax_number": "888-231-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY DR STE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411827",
            "telephone_number": "954-923-3060",
            "fax_number": "888-231-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAERBEAR'S HEALTHCARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-940-6208",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004149000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.