NPIMap

Organization Active NPI

Adventhealth Home Health and Hospice Inc

Doing business as Adventhealth Home Health

  • Home Health Agency
  • Leesburg, FL
National Provider Identifier
1023045853
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA212820961 Issued in FL
Legal business name
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Doing business as
Adventhealth Home Health
AdventHealth Home Care Waterman
Home Care Services
Practice address
9909 US Hwy 441
Unit 2 Suite a
Leesburg, FL 34788
Phone
(352) 253-3900
Fax
(352) 253-3901
NPI assigned
Jun 27, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Mark Wheeler
Title
Cfo
Phone
(530) 545-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA212820961 FL Primary

Addresses

Primary practice location

9909 US Hwy 441
Unit 2 Suite a
Leesburg, FL 34788

Mailing address

9909 US Hwy 441
Unit 2 Suite a
Leesburg, FL 34788
Phone (352) 253-3900

Other practice location 1

1072 Lake Sumter Lndg
The Villages, FL 32162-2694
Phone (352) 350-5460

Other identifiers 7

IdentifierTypeStateIssuer
107155OtherFLUNITED HEALTH CARE
107155OtherFLFL HEALTH CARE PLANS MCR
027111000MedicaidFL
107155OtherFLKEYSTONE HP WEST MCR
107155OtherFLPACIFICARE MCR
675486403OtherFLMID FL AGENCY ON AGING
H1VOtherFLBLUE CROSS

Other names 4

  • ADVENTHEALTH HOME HEALTH Doing business as
  • AdventHealth Home Care Waterman Doing business as
  • Home Care Services Doing business as
  • FLORIDA HOSPITAL WATERMAN INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251112000092 FL Part A Provider - Home Health Agency 9830133941 Practice locations: Leesburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023045853. Details of each certification follow.

Home health agency certification: CCN 107155

Legal name
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Doing business as
ADVENTHEALTH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 9, 1977
Last certification
Aug 1, 2019
Ownership / control type
Non-Profit
Most recent change of ownership
Jan 1, 2025
Organization structure
CorporationNon-profit
Enrollment address
9909 US Hwy 441
Unit 2 Ste a
Leesburg, FL 34788-3922

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventhealth Home HealthCCN 107155 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jun 9, 1977
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
10D2164368Adventhealth Home Health9909 US Highway 441 Unit 2 Ste a, Leesburg, FL 34788Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Home Health and Hospice Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

9909 US Highway 441
Ste A
Leesburg, FL 34788

1072 Lake Sumter Lndg
The Villages, FL 32162
Phone (352) 350-5460

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Diane Godfrey Individual Corporate OfficerAssistant Secretary Dec 11, 2025
Isaac Sendros Individual Corporate DirectorDirector Sep 1, 2025
Evelyn Lowe Individual Corporate DirectorDirector Sep 1, 2025
Marisa Farabaugh Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Michael Saunders Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Charles Basile Individual W-2 Managing EmployeeAd; Apr 6, 2026
Operational/Managerial ControlHome Health Administrator Apr 6, 2026
Julie Vincent Individual Corporate DirectorDirector Sep 1, 2025
Melissa Mora Individual Corporate OfficerAssistant Secretary Sep 1, 2025
Bryan Wright Individual Contracted Managing EmployeeChief Executive Officer Jan 1, 2025
Corporate OfficerChair/President/Ceo Jan 1, 2025
Operational/Managerial ControlChief Executive Officer Jan 1, 2025
Douglas Pytlinski Individual Corporate OfficerAssistant Secretary Apr 9, 2026
David L Huffman Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Nicole Ayoub Individual Corporate DirectorDirector Sep 1, 2025
Bela Nand Individual Corporate DirectorDirector Sep 1, 2025
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Maura Nazario Individual Corporate OfficerSecretary Sep 1, 2025
Mark W.H. Wheeler Individual Contracted Managing EmployeeChief Financial Officer Jan 1, 2025
Corporate OfficerTreasurer/Chief Financial Officer Jan 1, 2025
Operational/Managerial ControlChief Financial Officer Jan 1, 2025
Britt Thompson Individual Corporate DirectorDirector Sep 1, 2025
Vadym Didenko Individual Corporate DirectorDirector Mar 25, 2026
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 85

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

View all 85

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2025 Change of OwnershipThis provider was the buyer Adventhealth Home Care WatermanCCN 107155, FL, NPI 1023045853
Jan 1, 2025 Change of OwnershipThis provider was the seller Adventhealth Home HealthCCN 107155, FL, NPI 1023045853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1023045853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 US HWY 441",
            "address_2": "UNIT 2 SUITE A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-253-3900",
            "fax_number": "352-253-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 US HWY 441",
            "address_2": "UNIT 2 SUITE A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-253-3900",
            "fax_number": "352-253-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Lake Sumter Lndg",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321622694",
            "country_code": "US",
            "telephone_number": "352-350-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVENTHEALTH HOME HEALTH AND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-545-1409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA212820961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "107155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HEALTH CARE PLANS MCR",
            "identifier": "107155",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027111000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HP WEST MCR",
            "identifier": "107155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE MCR",
            "identifier": "107155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID FL AGENCY ON AGING",
            "identifier": "675486403",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H1V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Home Care Waterman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA HOSPITAL WATERMAN INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.