Organization Active NPI

Angel Home Care Services, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1962433896
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA22048096 Issued in FL
Legal business name
ANGEL HOME CARE SERVICES, INC.
Practice address
12955 SW 42ND St
Suite 104
Miami, FL 33175-2920
Phone
(305) 220-4544
Fax
(305) 220-0061
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Mrs. Nila Alegre, NA
Title
Administrator
Phone
(305) 220-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA22048096 FL Primary

Addresses

Primary practice location

12955 SW 42ND St
Suite 104
Miami, FL 33175-2920

Mailing address

12955 SW 42ND St
Suite 104
Miami, FL 33175-2920
Phone (305) 220-4544

Other identifiers 1

IdentifierTypeStateIssuer
650933900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000983 FL Part A Provider - Home Health Agency 8123099074 Practice locations: Miami, FL

Home health agency certification: CCN 107713

Legal name
ANGEL HOME CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 20, 2002
Last certification
Oct 7, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
in FL
Enrollment address
12955 SW 42ND St
Ste 104
Miami, FL 33175-2920

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Home Care Services IncCCN 107713
Ownership
Proprietary
Certified
Jun 20, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

12955 SW 42nd St
Ste 104
Miami, FL 33175
Phone (305) 220-4544

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Angel Alegre Individual 5% Or Greater Indirect Ownership Interest Aug 19, 2022 50%
W-2 Managing Employee Nov 7, 2011
Angel Home Care Holdings Inc Organization, Miami, FL Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Aug 19, 2022 100%
Mariluz Billoch Individual W-2 Managing Employee Aug 19, 2022
Nila Alegre Individual 5% Or Greater Indirect Ownership Interest Jun 22, 2023 50%
5% Or Greater Mortgage Interest Jun 22, 2023
Corporate Officer Aug 23, 2022
Corporate Director Aug 23, 2022

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1962433896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752920",
            "telephone_number": "305-220-4544",
            "fax_number": "305-220-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752920",
            "telephone_number": "305-220-4544",
            "fax_number": "305-220-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "ALEGRE",
        "authorized_official_first_name": "NILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-220-4544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA22048096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650933900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.