Organization Active NPI

Ally Home Care LLC

  • Home Health Agency
  • Hollywood, FL
National Provider Identifier
1962234054
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLY HOME CARE LLC
Practice address
4000 Hollywood Blvd Ste 555-a
Hollywood, FL 33021-6751
Phone
(786) 200-6100
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Benjamin A Sardinas
Title
Manager
Phone
(786) 200-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4000 Hollywood Blvd Ste 555-a
Hollywood, FL 33021-6751

Mailing address

4000 Hollywood Blvd Ste 555-a
Hollywood, FL 33021-6751
Phone (786) 200-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805000878 FL Part A Provider - Home Health Agency 6204344880 Practice locations: Hollywood, FL

Home health agency certification: CCN 687422

Legal name
ALLY HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 2, 2026
Last certification
Jan 21, 2026
Organization structure
LLCProprietary
Enrollment address
4000 Hollywood Blvd
Suite 555S- Unit 518
Hollywood, FL 33021

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
10D2324602Ally Home Care LLC4000 Hollywood Blvd, Suite 555S Unit 518, Hollywood, FL 33021Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

4000 Hollywood Blvd
Ste 555A
Hollywood, FL 33021
Phone (786) 200-6100

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Torres Individual W-2 Managing EmployeeOffice Manager Dec 19, 2025
Benjamin Sardinas Individual 5% Or Greater Indirect Ownership Interest May 13, 2025 100%
Corporate OfficerCeo,Cfo, Administrator May 13, 2025 100%
Corporate DirectorCeo,Cfo, Administrator May 13, 2025 100%
W-2 Managing EmployeeAd;Ceo, Cfo May 13, 2025 100%
Ally One LLC Organization, Coral Gables, FL Created for acquisition, Holding company 5% Or Greater Direct Ownership Interest Jun 13, 2024 100%
Operational/Managerial Control Jun 13, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1962234054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555-A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "786-200-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555-A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "786-200-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-200-6100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.