Organization Active NPI

Loving Hands Home Health Agency, Inc.

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1962763375
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOVING HANDS HOME HEALTH AGENCY, INC.
Practice address
2336 Cleveland Ave
Fort Myers, FL 33901
Phone
(239) 288-5262
Fax
(239) 288-5280
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Elier Gonzalez Martinez
Title
President/ Owner
Phone
(239) 288-5262

Specialties & licenses 1

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

Addresses

Primary practice location

2336 Cleveland Ave
Fort Myers, FL 33901

Mailing address

2336 Cleveland Ave
Fort Myers, FL 33901-3540
Phone (239) 288-5262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000426 FL Part A Provider - Home Health Agency 4688827025 Practice locations: Fort Myers, FL

Home health agency certification: CCN 683114

Legal name
LOVING HANDS HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 26, 2013
Last certification
Sep 20, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 1, 2012 in FL
Enrollment address
2336 Cleveland Ave
Fort Myers, FL 33901
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Loving Hands Home Health Agency IncCCN 683114
Ownership
Proprietary
Certified
Sep 26, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D2048031Loving Hands Home Health Agency Inc2336 Cleveland Ave, Fort Myers, FL 33901Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

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
Elier Gonzalez Individual 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%
W-2 Managing Employee Feb 1, 2012 100%
Loving Hands Home Health Agency Inc Organization, Fort Myers, FL For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1962763375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-288-5262",
            "fax_number": "239-288-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-288-5262",
            "fax_number": "239-288-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING HANDS HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MARTINEZ",
        "authorized_official_first_name": "ELIER",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "239-288-5262"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.