Organization Active NPI

Vip Family HHC, LLC

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1992571376
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VIP FAMILY HHC, LLC
Practice address
7362 Futures Dr Ste 14
Office 106
Orlando, FL 32819-9086
Phone
(321) 272-3345
Fax
(407) 650-3396
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Octavio De Jesus Cruz Martinez, RNNPI 1508453309
Title
Owner, Cfo
Phone
(321) 272-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7362 Futures Dr Ste 14
Office 106
Orlando, FL 32819-9086

Mailing address

7362 Futures Dr Ste 14
Office 106
Orlando, FL 32819-9086
Phone (321) 272-3345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523003060 FL Part A Provider - Home Health Agency 6507208444 Practice locations: Orlando, FL

Home health agency certification: CCN 687368

Legal name
VIP FAMILY HHC, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 30, 2025
Last certification
May 15, 2025
Organization structure
LLCProprietary
Incorporated
Sep 11, 2023 in FL
Enrollment address
7362 Futures Dr
Suite 14 Office 106
Orlando, FL 32819
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vip Family HHC LLCCCN 687368
Ownership
-
Certified
May 30, 2025
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
10D2297425Vip Family HHC, LLC7362 Futures Dr Suite 14 Office 106, Orlando, FL 32819Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

7362 Futures Dr
Ste 14
Orlando, FL 32819
Phone (321) 272-3345

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
Octavio de Jesus Cruz Martinez Individual 5% Or Greater Direct Ownership InterestPresident, Don, Alt. Administrator Sep 11, 2023 100%
Corporate OfficerPresident, Don, Alt. Administrator Sep 11, 2023 100%
Corporate DirectorPresident, Don, Alt. Administrator Sep 11, 2023 100%
W-2 Managing EmployeePresident, Don, Alt. Administrator Sep 11, 2023 100%
Edelio V de Zayas Individual W-2 Managing EmployeeAd; Feb 27, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1992571376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 FUTURES DR STE 14",
            "address_2": "OFFICE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199086",
            "telephone_number": "321-272-3345",
            "fax_number": "407-650-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 FUTURES DR STE 14",
            "address_2": "OFFICE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199086",
            "telephone_number": "321-272-3345",
            "fax_number": "407-650-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP FAMILY HHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CRUZ MARTINEZ",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "321-272-3345",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.