Active NPI
Angel Home Care Services, Inc.
- Home Health Agency
- Miami, FL
National Provider Identifier
1962433896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA22048096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650933900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jun 20, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Angel Alegre | 5% Or Greater Indirect Ownership Interest | Aug 19, 2022 | 50% |
| W-2 Managing Employee | Nov 7, 2011 | ||
| Angel Home Care Holdings Inc | 5% Or Greater Direct Ownership Interest | Aug 19, 2022 | 100% |
| Mariluz Billoch | W-2 Managing Employee | Aug 19, 2022 | |
| Nila Alegre | 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.
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1295538551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.