Organization Active NPI

Horizon Homecare of Central Florida LLC

  • Home Health Agency
  • Lakeland, FL
National Provider Identifier
1003371287
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HORIZON HOMECARE OF CENTRAL FLORIDA LLC
Practice address
5151 S Lakeland Dr Ste 15
Lakeland, FL 33813-2556
Phone
(863) 644-5991
Fax
(352) 684-8991
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Mr. Robert Gregory Young
Title
Secretary & Cao
Phone
(904) 733-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5151 S Lakeland Dr Ste 15
Lakeland, FL 33813-2556

Mailing address

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone (904) 733-1003

Other identifiers 2

IdentifierTypeStateIssuer
299994938OtherFLAHCA STATE LICENSE
10D2217491OtherFLCLIA WAIVER

Other names 1

  • Concierge Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529002859 FL Part A Provider - Home Health Agency 3577984509 Practice locations: Lakeland, FL

Home health agency certification: CCN 687086

Legal name
HORIZON HOMECARE OF CENTRAL FLORIDA LLC
Doing business as
CONCIERGE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2021
Last certification
Jan 28, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 1, 2019 in FL
Enrollment address
5151 S Lakeland Dr
Ste 15
Lakeland, FL 33813-2556

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concierge Home CareCCN 687086
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 28, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
10D2217491Horizon Homecare of Central Florida LLC5151 S Lakeland Dr - Ste 15, Lakeland, FL 33813Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5151 S Lakeland Dr
Ste 15
Lakeland, FL 33813
Phone (863) 644-5991

5810 W Cypress St
Ste 5810A
Tampa, FL 33607
Phone (813) 636-5017

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Homecare Partners Holdings, LLC Organization, Jacksonville, FL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 99.21%
Waud Capital Partners Fif IV, L.P. Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Waud Homecare Partners Holdings, LLC Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 65.54%
Jeffrey L Fisher Individual Corporate OfficerPresident Sep 30, 2020
New York State Teachers' Retirement System Organization, Albany, NY Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 6.16%
Horizon Homecare Holding Company LLC Organization, Spring Hill, FL LLC 5% Or Greater Direct Ownership Interest Jul 15, 2020 100%
Reeve B. Waud Declaration of Trust DTD 02/21/96 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Apr 24, 2026 5.86%
Shelby Somarriba Individual W-2 Managing EmployeeAlternate Admin & Alternate Don Sep 26, 2025
Homecare Partners Management, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2020 100%
Cassia Rosser Individual W-2 Managing EmployeeAd; Apr 15, 2025
Homecare Partners Acquisition Co., LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2020 100%
Robert Young Individual Corporate OfficerSecretary Sep 30, 2020
Operational/Managerial ControlSecretary and Chief Admin Officer Sep 30, 2020
Waud Capital Affiliates IV, LLC Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 12.14%
Homecare Partners Intermediate Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2020 100%
WCP Fif IV (Homecare Partners), L.P. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 23.69%
David Christopher Rucker Individual Corporate OfficerChief Executive Officer Sep 30, 2020
Joseph Malone Individual W-2 Managing EmployeeCfo Jun 1, 2025
Waud Capital Partners QP IV, L.P. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 50.61%
WCP Fif IV Homecare Partners Blocker, Inc. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Kayla Simmons Individual W-2 Managing EmployeeDon Nov 10, 2025
Jacksonville Owners Holdings, Inc. Organization, Jacksonville, FL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2020 6.72%
Crescent Agency Services, LLC Organization, Boston, MA LLC, For-profit 5% Or Greater Security Interest May 25, 2021 100%

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1003371287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560957",
            "telephone_number": "904-733-1003",
            "fax_number": "044-448-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S LAKELAND DR STE 15",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132556",
            "telephone_number": "863-644-5991",
            "fax_number": "352-684-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOMECARE OF CENTRAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SECRETARY & CAO",
        "authorized_official_telephone_number": "904-733-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA STATE LICENSE",
            "identifier": "299994938",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "10D2217491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.