Adoration Home Health Care Florida, LLC
Organization Active NPI Home Health Agency · Pensacola, FL
NPI 1003597972 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1003597972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADORATION HOME HEALTH CARE FLORIDA, LLC
- Practice address
- 4400 Bayou Blvd Ste 54a
Pensacola, FL 32503-1909 - Phone
- (850) 760-0040
- NPI assigned
- Jul 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Margaret Pemberton
- Title
- VP and Manager
- Phone
- (502) 630-7425
Member of 1
Facilities with the same owner 151
Affiliated clinicians 2
-
Edward A Hughes, PA
-
Saul Ahmed Rodriguez, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Adoration Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- -
- Certified
- Nov 13, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2293542 | Adoration Home Health Care Florida LLC | Certificate of waiver | Nov 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 687355
- Legal name
- ADORATION HOME HEALTH CARE FLORIDA LLC
- Doing business as
- ADORATION HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 13, 2024
- Last certification
- Nov 1, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 17, 2023 in DE
- Enrollment address
- 4400 Bayou Blvd
Ste 54a
Pensacola, FL 32503-1909
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Phipps |
Corporate Officer |
Feb 17, 2023 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 20% |
| Adoration Home Health & Hospice Inc |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| Allison Brown |
Corporate Officer |
Feb 17, 2023 | |
| Debbie Anderson |
W-2 Managing Employee |
Apr 25, 2024 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Feb 17, 2023 | |
| Corporate Director |
Feb 17, 2023 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| Jon Wilder |
Corporate Officer |
Feb 17, 2023 | |
| Corporate Director |
Feb 17, 2023 | ||
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 20% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 48% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 42% |
| Adoration Home Health Care LLC |
5% Or Greater Direct Ownership Interest | Feb 17, 2023 | 100% |
| Rescare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Feb 17, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240718002751 | FL | Part a Provider - Home Health Agency | 5799221453 | Practice locations: Pensacola, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4400 Bayou Blvd Ste 54a
Pensacola, FL 32503-1909
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Other providers in Pensacola, FL
- Alan Eric Adkins
- Clayborn J Adkins
- Kermit Adkins
- Jamie Renee Adkinson
- Abigail Adkison
- Adult & Child Mental Health Care
- Adult and Child Counseling Services Inc.
- Adult and Child Counseling Services, Inc.
- Adult Children & Family Counseling
- Advanced Care House Calls of Florida, LLC
All providers in Pensacola, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.