Organization Active NPI

Adoration Home Health Care Florida, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1003597972
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Margaret Pemberton
Title
VP and Manager
Phone
(502) 630-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4400 Bayou Blvd Ste 54a
Pensacola, FL 32503-1909

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718002751 FL Part A Provider - Home Health Agency 5799221453 Practice locations: Pensacola, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003597972. Details of each certification follow.

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
LLCProprietary
Incorporated
Feb 17, 2023 in DE
Enrollment address
4400 Bayou Blvd
Ste 54a
Pensacola, FL 32503-1909
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 687355 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Nov 13, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2293542Adoration Home Health Care Florida LLC4400 Bayou Blvd Suite 54a, Pensacola, FL 32503Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jennifer Phipps Individual Corporate OfficerTreasurer Feb 17, 2023
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 20%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
Allison Brown Individual Corporate OfficerSecretary Feb 17, 2023
Debbie Anderson Individual W-2 Managing EmployeeAd; Apr 25, 2024
Margaret Sherry Pemberton Individual Corporate OfficerVice President Feb 17, 2023
Corporate DirectorBoard Member Feb 17, 2023
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
Jon Wilder Individual Corporate OfficerPresident Feb 17, 2023
Corporate DirectorBoard Member Feb 17, 2023
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Feb 17, 2023 42%
Adoration Home Health Care LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Feb 17, 2023 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Feb 17, 2023 100%

Facilities with the same owner 151

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

View all 151

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1003597972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 54A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031909",
            "telephone_number": "850-760-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "VP AND MANAGER",
        "authorized_official_telephone_number": "502-630-7425"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.