MANDEVILLE QUALITY CARE
NPI 1417470659
Home Health in Miami, FL

Q: What is Port Royal Home Health Care Inc's NPI number?

The NPI number for Port Royal Home Health Care Inc is 1417470659. It was assigned to this organization in the NPPES registry on July 19, 2017. The provider is doing business as Mandeville Quality Care.

Q: What is Port Royal Home Health Care Inc's specialty?

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

Active since July 19, 2017CLIA 10D2324953 · Waiver

111 NW 183RD ST STE 318B, MIAMI, FL 33169(305) 337-1717(786) 440-5046 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Feb 24, 2022, Aug 18, 2021 and 1 more (4 updates tracked since 2017).

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About Mandeville Quality Care NPPES

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

MANDEVILLE QUALITY CARE (NPI 1417470659) is a healthcare organization registered as a home health in Miami, Florida and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Kristo-jay Bailey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417470659

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePORT ROYAL HOME HEALTH CARE INC

Location Address111 NW 183RD ST STE 318BMiami, FL 33169-4537

Mailing Address111 Nw 183rd St Ste 318bMiami, FL 33169-4537 · (305) 337-1717 · Fax (786) 440-5046

Phone(305) 337-1717

Fax(786) 440-5046

Organization SubpartNo

Authorized OfficialKristo-jay BaileyCeo · (305) 337-1717

Enumeration DateJuly 19, 2017

Last NPPES UpdateJune 12, 20244 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1417470659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

111 NW 183RD ST STE 318B, Miami, FL 33169

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Other Names 1

Doing Business AsMandeville Quality Care

Other Identifiers 1

Medicaid111478500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 10D2324953

Port Royal Home Health Care Inc · Miami, FL

Active · expires Jun 3, 2027

CLIA Number10D2324953

Laboratory TypeHome Health Agency

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorKristo Jay A. Bailey

Laboratory Phone(305) 337-1717

Laboratory LocationPort Royal Home Health Care Inc111 NW 183rd Street Suite 318B, Miami, FL 33169

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 Port Royal Home Health Care Inc's NPI number?

The NPI number for Port Royal Home Health Care Inc is 1417470659. It was assigned to this organization in the NPPES registry on July 19, 2017. The provider is doing business as Mandeville Quality Care.

Where is Port Royal Home Health Care Inc located?

Port Royal Home Health Care Inc is located at 111 NW 183rd St Ste 318B, Miami, FL 33169. The listed phone number is (305) 337-1717.

What is Port Royal Home Health Care Inc's specialty?

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

Does Port Royal Home Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2324953) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port Royal Home Health Care Inc accept?

Health plans from Ambetter Health and Ambetter of Alabama list Port Royal Home Health Care Inc 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 Port Royal Home Health Care Inc was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.