Organization Active NPI

Nationwide Healthcare Services, Inc.

  • Home Health Agency
  • Miami Gardens, FL
National Provider Identifier
1992846240
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
207440961 Issued in FL
Legal business name
NATIONWIDE HEALTHCARE SERVICES, INC.
Practice address
111 NW 183Rd St Ste 420
Miami Gardens, FL 33169-4619
Phone
(305) 654-1264
Fax
(305) 651-3330
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Purificacion Oviasogie
Title
Owner
Phone
(305) 654-1264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 207440961 FL Primary

Addresses

Primary practice location

111 NW 183Rd St Ste 420
Miami Gardens, FL 33169-4619

Mailing address

111 NW 183Rd St Ste 420
Miami Gardens, FL 33169-4619
Phone (305) 654-1264

Other identifiers 2

IdentifierTypeStateIssuer
650065000MedicaidFL
650065095MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000645 FL Part A Provider - Home Health Agency 2062679079 Practice locations: Miami Gardens, FL

Home health agency certification: CCN 107746

Legal name
NATIONWIDE HEALTHCARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 2002
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 11, 1991 in FL
Enrollment address
111 NW 183Rd Street
Ste 420
Miami Gardens, FL 33169

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nationwide Healthcare Services, Inc.CCN 107746
Ownership
Proprietary
Certified
Dec 5, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D0971288Nationwide Healthcare Services111 NW 183Rd St Ste 420, Miami Gardens, FL 33169Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Nationwide Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 NW 183rd St
Ste 420
Miami Gardens, FL 33169
Phone (305) 654-1264

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
Purificacion Oviasogie Individual 5% Or Greater Direct Ownership Interest Apr 11, 1991 95%
Corporate Officer Apr 11, 1991 95%
W-2 Managing Employee Apr 11, 1991 95%
Gerald Oviasogie Individual 5% Or Greater Direct Ownership Interest Feb 21, 2008 5%
Corporate Officer Feb 21, 2008 5%
Corporate Director Feb 21, 2008 5%
W-2 Managing Employee Feb 21, 2008 5%

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1992846240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST STE 420",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694619",
            "telephone_number": "305-654-1264",
            "fax_number": "305-651-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST STE 420",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694619",
            "telephone_number": "305-654-1264",
            "fax_number": "305-651-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "OVIASOGIE",
        "authorized_official_first_name": "PURIFICACION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-654-1264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "207440961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650065000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650065095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.