Therapycare Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THERAPYCARE HOME HEALTH LLC

Practice address

507 NW Hall of Fame Dr
Lake City, FL 32055-4835

Phone

(904) 246-3436

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Evgeny Chernyak

Title

Vice President, Treasurer

Phone

(904) 635-6081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687228

Legal name

THERAPYCARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 14, 2022

Last certification

Oct 20, 2022

Organization structure

LLCProprietary

Incorporated

Mar 13, 2012 in FL

Enrollment address

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Other NPIs with the same Medicare PAC ID 1

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

• Therapycare Home Health LLC

  • Home Health Agency
  • Jacksonville Beach, FL
  • NPI 1467727057

  8224282785

  Same PAC ID

Listed as

Therapycare Home Health LLCCCN 687228

Ownership

-

Certified

Nov 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Therapycare Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapycare Home Health LLC

  • Home Health Agency
  • Jacksonville Beach, FL
  • NPI 1467727057
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1013303254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 3RD ST STE 202",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665082",
            "telephone_number": "904-635-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554835",
            "telephone_number": "904-246-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "CHERNYAK",
        "authorized_official_first_name": "EVGENY",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER",
        "authorized_official_telephone_number": "904-635-6081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Henry & Rilla White Youth Foundation Inc
• The Orthopaedic Institute, PA
• The Plantation on Summers LLC
• The Primary Care Center of Lake City Richard L. Wright Jr MD, PA
• The Rose Group, Inc
• Adam Jackson Thomas, D.M.D.
• Camelia Thomas
• Christina Nichole Thomas, APRN
• Cynthia Thomas
• Katherine Susannah Mary Thomas, OD

• Home Health Agency in Lake City, FL
• Providers in Lake City, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.