DYNASTY HOME HEALTH LLC
NPI 1083319461
Home Health in Tampa, FL

Active since April 04, 2023CLIA 10D2289760 · Waiver
5406 HOOVER BLVD STE 5, TAMPA, FL 33634(813) 331-5595 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jan 3, 2024, Apr 4, 2023 (3 updates tracked since 2023).

About Dynasty Home Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNASTY HOME HEALTH LLC (NPI 1083319461) is a healthcare organization registered as a home health in Tampa, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jany Mederos Cabrera, Ambr, as its authorized official.

NPPES Registry Identity

NPI1083319461
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDYNASTY HOME HEALTH LLC
Location Address5406 HOOVER BLVD STE 5Tampa, FL 33634-5330
Mailing Address5406 Hoover Blvd Ste 5Tampa, FL 33634-5330 · (813) 331-5595
Organization SubpartNo
Authorized OfficialJany Mederos CabreraAmbr · (813) 331-5595
Enumeration DateApril 4, 2023
Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1083319461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5406 HOOVER BLVD STE 5, Tampa, FL 33634

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2289760

Dynasty Home Health LLC · Tampa, FL
Active · expires Sep 14, 2027
CLIA Number10D2289760
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMadelaine Perez
Laboratory Phone(813) 331-5595
Laboratory LocationDynasty Home Health LLC5406 Hoover Blvd Ste 5, Tampa, FL 33634
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynasty Home Health LLC's NPI number?

The NPI number for Dynasty Home Health LLC is 1083319461. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Dynasty Home Health LLC located?

Dynasty Home Health LLC is located at 5406 Hoover Blvd Ste 5, Tampa, FL 33634. The listed phone number is (813) 331-5595.

What is Dynasty Home Health LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Dynasty Home Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2289760) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dynasty Home Health LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dynasty Home Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dynasty Home Health LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.