NPIMap

Organization Active NPI

HH Stuart LLC

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1043338213
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20646095 Issued in FL
Legal business name
HH STUART LLC
Practice address
1903 S Congress Ave
Boynton Beach, FL 33426-6548
Phone
(561) 806-7027
Fax
(561) 806-7032
NPI assigned
Mar 27, 2007
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mr. Walter Wright
Title
Sr VP
Phone
(706) 854-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20646095 FL Primary

Addresses

Primary practice location

1903 S Congress Ave
Boynton Beach, FL 33426-6548

Mailing address

PO Box 200
Augusta, GA 30903-0200
Phone (706) 303-5500

Other identifiers 1

IdentifierTypeStateIssuer
20646095OtherFLSTATE LICENSE PERMIT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230522003545 FL Part A Provider - Home Health Agency 4587029756 Practice locations: Boynton Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043338213. Details of each certification follow.

Home health agency certification: CCN 109058

Legal name
HH STUART LLC
Doing business as
HEALTH AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 2008
Last certification
May 14, 2020
Ownership / control type
Proprietary
Most recent change of ownership
Feb 1, 2023
Organization structure
LLCProprietary
Incorporated
Jun 30, 2022 in FL
Enrollment address
1903 S Congress Ave
Ste 180
Boynton Beach, FL 33426-6553

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health at HomeCCN 109058 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 6, 2008
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
10D0709437Health at Home1903 S Congress Ave Ste 180, Boynton Beach, FL 33426Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Health at Home2 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.

Locations

1901 S Congress Ave
Boynton Beach, FL 33426
Phone (561) 325-3987

1903 S Congress Ave
Boynton Beach, FL 33426
Phone (561) 806-7027

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Gerri Bannister Individual W-2 Managing Employee Feb 1, 2023
Michael J Hagan Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 49.5%
Corporate OfficerPresident Feb 1, 2023
Hawk Capital Partners LP Organization, Fort Washington, PA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%
Hawk Upper Deck LP Organization, Fort Washington, PA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 99.99%
James Mirage Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 49.5%
Corporate OfficerVP Feb 1, 2023
Hawk Health Holdings LLC Organization, Fort Washington, PA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%

Facilities with the same owner 1

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

  • HH Stuart LLC

    dba Health at Home

    • Home Health Agency
    • Port St Lucie, FL
    • NPI 1417163403

    Hawk Capital Partners LP, Hawk Health Holdings LLC, Hawk Upper Deck LP

    CMS ownership

Change-of-ownership history 2

DateEventCounterparty
Feb 1, 2023 Change of OwnershipThis provider was the buyer Health at HomeCCN 109058, FL, NPI 1043338213
Feb 1, 2023 Change of OwnershipThis provider was the seller Health at HomeCCN 109058, FL, NPI 1043338213

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1043338213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030200",
            "telephone_number": "706-303-5500",
            "fax_number": "706-854-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266548",
            "telephone_number": "561-806-7027",
            "fax_number": "561-806-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH STUART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-31",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "706-854-7301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20646095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE PERMIT",
            "identifier": "20646095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.