Active NPI
Apollo Advanced Home Health Corp.
- Home Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993535
- Legal business name
- APOLLO ADVANCED HOME HEALTH CORP.
- Practice address
- 8910 N. Dale Mabry Hwy
Suite 16
Tampa, FL 33614 - Phone
- (813) 935-5555
- Fax
- (813) 933-6417
- NPI assigned
- Jan 26, 2009
- 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
- Mr. Jose M Martinez
- Title
- Administrator
- Phone
- (813) 935-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299993535 | FL | Primary |
Addresses
Primary practice location
8910 N. Dale Mabry Hwy
Suite 16
Tampa, FL 33614
Mailing address
8910 N. Dale Mabry Hwy
Suite 16
Tampa, FL 33614
Phone (813) 935-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001442500 | 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 |
|---|---|---|---|---|
| O20100320000154 | FL | Part A Provider - Home Health Agency | 4183759715 | Practice locations: Tampa, FL |
Home health agency certification: CCN 109648
- Legal name
- APOLLO ADVANCED HOME HEALTH CORP.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 16, 2010
- Last certification
- Jul 19, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 5, 2008 in FL
- Enrollment address
- 8910 N Dale Mabry Hwy
Ste 16
Tampa, FL 33614-1580
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Apollo Advanced Home Health Corp
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 16, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1099732 | Apollo Advanced Home Health, Corp | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
8910 N Dale Mabry Hwy
Ste 16
Tampa, FL 33614
Phone (813) 935-5555
8910 N Dale Mabry Hwy
Ste 10
Tampa, FL 33614
Phone (813) 935-5555
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aimee Marquez | Corporate Director | Apr 3, 2017 | |
| W-2 Managing Employee | Apr 3, 2017 | ||
| Operational/Managerial Control | Apr 3, 2017 | ||
| Jose Martinez | 5% Or Greater Direct Ownership Interest | Dec 5, 2008 | 100% |
| Corporate Officer | Dec 5, 2008 | 100% | |
| Corporate Director | Dec 5, 2008 | 100% | |
| W-2 Managing Employee | Dec 5, 2008 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543276800000",
"number": "1972741254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 N. DALE MABRY HWY",
"address_2": "SUITE 16",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-935-5555",
"fax_number": "813-933-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 N. DALE MABRY HWY",
"address_2": "SUITE 16",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-935-5555",
"fax_number": "813-933-6417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO ADVANCED HOME HEALTH CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-26",
"last_updated": "2018-11-27",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-935-5555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001442500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.