Organization Active NPI

One Staffing Agency LLC

  • Home Health Agency
  • Lighthouse Point, FL
National Provider Identifier
1972279842
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ONE STAFFING AGENCY LLC
Practice address
3170 N Federal Hwy Ste 112
Lighthouse Point, FL 33064-6721
Phone
(561) 478-7035
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Isaac Aliancin
Title
Administrator
Phone
(561) 504-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3170 N Federal Hwy Ste 112
Lighthouse Point, FL 33064-6721

Mailing address

3170 N Federal Hwy Ste 112
Lighthouse Point, FL 33064-6721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221117002899 FL Part A Provider - Home Health Agency 2264800507 Practice locations: Lighthouse Point, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972279842. Details of each certification follow.

Home health agency certification: CCN 687218

Legal name
ONE STAFFING AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2023
Last certification
Mar 9, 2023
Organization structure
LLCProprietary
Incorporated
Jan 1, 2020 in FL
Enrollment address
3170 N Federal Hwy
Ste 100F
Lighthouse Point, FL 33064-6881

Care Compare: Home health agency

Medicare Care Compare
Listed as
One Staffing Agency LLCCCN 687218 · All quality measures
Ownership
-
Certified
Mar 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2276034One Staffing Agency LLC3170 N Federal Highway Suite 112, Lighthouse Point, FL 33064Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Locations

3170 N Federal Hwy
Ste 100F
Pompano Beach, FL 33064
Phone (754) 205-5988

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
Isaac Aliancin Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2020 34%
W-2 Managing EmployeeAdmin Jan 1, 2020 34%
Shaunico Poitier Individual 5% Or Greater Direct Ownership InterestDirector Jan 1, 2020 33%
Eddy Thomas Individual 5% Or Greater Direct Ownership InterestDirector Jan 1, 2020 33%

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1972279842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY STE 112",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY STE 112",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646721",
            "telephone_number": "561-478-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "ALIANCIN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-504-3160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.