Active NPI
Nationwide Healthcare Services, Inc.
- Home Health Agency
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 207440961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650065000 | Medicaid | FL | |
| 650065095 | 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 |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- Proprietary
- Certified
- Dec 5, 2002
- Medicare certification status
- Active
- Services
- Nursing, 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 |
|---|---|---|---|
| 10D0971288 | Nationwide Healthcare Services | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Nationwide Healthcare Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1821252099
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Purificacion Oviasogie | 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 | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.