Homed Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20511096 Issued in FL

Legal business name

HOMED CARE INC

Practice address

419 W 49TH St Ste 200
Hialeah, FL 33012-3656

Phone

(305) 769-3332

Fax

(305) 769-3334

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Carmen Rosa Hernandez

Title

President

Phone

(305) 769-3332

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108194

Legal name

HOMED CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 2, 2005

Last certification

Apr 18, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 23, 1992 in FL

Enrollment address

419 W 49TH St
Ste 200
Hialeah, FL 33012-3656

Listed as

Homed Care, IncCCN 108194

Ownership

Proprietary

Certified

Aug 2, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1962500090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W 49TH ST STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123656",
            "telephone_number": "305-769-3332",
            "fax_number": "305-769-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 49TH ST STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123656",
            "telephone_number": "305-769-3332",
            "fax_number": "305-769-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-769-3332"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20511096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651119800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680653898",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680653896",
            "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 Feb 12, 2014; 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.