NPIMap

Organization Active NPI

Home Health Care of Florida

  • Home Health Agency
  • Melbourne, FL
National Provider Identifier
1003194697
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH CARE OF FLORIDA
Practice address
4501 N. Wickham Road
Suite 103
Melbourne, FL 32935
Phone
(321) 610-3983
Fax
(321) 610-3984
NPI assigned
Jul 29, 2011
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mr. Geoffrey R Fraser
Title
Owner
Phone
(321) 288-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4501 N. Wickham Road
Suite 103
Melbourne, FL 32935

Mailing address

5270 N US Highway 1 Unit 102B
Palm Shores, FL 32940-8829
Phone (321) 610-3983

Other identifiers 1

IdentifierTypeStateIssuer
004437200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120702000117 FL Part A Provider - Home Health Agency 2567627227 Practice locations: Palm Shores, FL
O20131122001090 FL Part A Provider - Home Health Agency 2567627227 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ormond Beach, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1003194697. Details of each certification follow.

Home health agency certification: CCN 103156

Legal name
HOME HEALTH CARE OF FLORIDA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 13, 2012
Last certification
Dec 11, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 7, 2011 in FL
Enrollment address
5270 N US Highway 1
Ste 102
Palm Shores, FL 32940-7216

Home health agency certification: CCN 683141

Legal name
HOME HEALTH CARE OF FLORIDA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 8, 2014
Last certification
Nov 1, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 7, 2011 in FL
Enrollment address
1360 North US 1
Suite 103
Ormond Beach, FL 32174

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Care of FloridaCCN 103156 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 13, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Care of Florida LLCCCN 683141 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
May 8, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
10D2029630Home Health Care of Florida5270 N US 1 Ste 102 B, Melbourne, FL 32940Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

4501 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 610-3983

5270 N US Highway 1
Unit 102
Palm Shores, FL 32940
Phone (321) 610-3983

5270 N US Highway 1
Unit 102B
Palm Shores, FL 32940

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Cleveland Individual Corporate Officer Dec 13, 2012 0.5%
Heather Houle Individual Operational/Managerial Control Sep 8, 2015 33.33%
Operational/Managerial ControlDirector of Reimbusement Services Sep 8, 2015 33.33%
Geoffrey Fraser Individual Corporate Officer Dec 13, 2012 0.5%
Home Health Care of Florida Organization, Palm Shores, FL LLC 5% Or Greater Direct Ownership Interest Jun 7, 2011 100%
Operational/Managerial Control Sep 8, 2015 33.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Health Care of FloridaOrmond Beach, FL, CCN 683141 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 7, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1003194697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 N US HIGHWAY 1 UNIT 102B",
            "city": "PALM SHORES",
            "state": "FL",
            "postal_code": "329408829",
            "telephone_number": "321-610-3983",
            "fax_number": "321-610-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N. WICKHAM ROAD",
            "address_2": "SUITE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-610-3983",
            "fax_number": "321-610-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CARE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-288-0171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004437200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.