Provider Profile
PRIMA HOME HEALTH LLC
Home Health Agency
FACILITY PROFILE
Accredited by: Joint Commission
Street Address
- 3500 N STATE RD 7 STE 499
LAUDERDALE LAKES, FL 33319
County: Broward - Phone: (954) 731-4511
Mailing Address
- 3500 N STATE RD 7 STE 499
LAUDERDALE LAKES, FL 33319
County: Broward - Phone: (954) 731-4511
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Facility Information:
| Facility/Provider Type: | Home Health Agency | |||||||||
| Administrator: | VALERIE COOMBS | |||||||||
| Chief Executive Officer: | Not Available | |||||||||
| Financial Officer: | FERNANDO L TIRADO | |||||||||
| Owner/Licensee: | PRIMA HOME HEALTH LLC | |||||||||
| Owner/Licensee Since: | 4/23/2008 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 19964850 | |||||||||
| AHCA Field Office: | 10 | |||||||||
| License Number: | 299992155 | |||||||||
| Current License Effective: | 5/26/2024 | |||||||||
| Current License Expires: | 5/25/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Service Area: | Broward |
| Accredited By: | Joint Commission |
| Accredited Deemed Status: | State Only |
| Certification Status: | Not Certified |
| SERVICES PROVIDED: | Home Health AideNursing CareOccupational TherapyPhysical TherapySpeech Therapy |
| Special Designation: | Skilled Services |
| Skilled Pediatric Services: | Yes |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 3/4/2009 | 2009002563 | Fine | Reporting | $1,500.00 | 11/4/2009 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.