Caretenders Visiting Services of Pinellas County, LLC
Organization Active NPI Home Health Agency · Clearwater, FL
NPI 1104081876 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1104081876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC
- Practice address
- 311 Park Place Blvd Ste 100
Clearwater, FL 33759-3923 - Phone
- (727) 584-1824
- Fax
- (727) 547-1072
- NPI assigned
- Jul 22, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC
Authorized official
- Name
- Mr. Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Facilities with the same owner 111
Practitioners 1
-
Delinda D Tim, APRN
Affiliated clinicians 2
-
Alisha L Grimmage, APRN
-
Michelle Renee Writesel, CFNP
Medicare Care Compare: Home health agency
- Listed as
- Mederi Caretenders
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Aug 8, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0914797 | Caretenders Visiting Services of Pinellas County | Certificate of waiver | May 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 107539
- Legal name
- CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC
- Doing business as
- MEDERI CARETENDERS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 8, 1996
- Last certification
- May 10, 2017
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 311 Park Place Blvd
Ste 100
Clearwater, FL 33759-3923
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Wendy S Daigle |
Corporate Director | Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| Erin Tucker |
W-2 Managing Employee |
Dec 9, 2024 | |
| Joshua Lee Proffitt |
Corporate Officer |
Aug 1, 2012 | |
| Almost Family, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 1, 2018 | 100% |
| National Health Industries, Inc. |
5% Or Greater Direct Ownership Interest | Apr 1, 2018 | 100% |
| Carmen Harbuck |
W-2 Managing Employee |
Jun 30, 2025 | |
| Amy Cormier |
Corporate Director |
May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080513000383 | FL | Part a Provider - Home Health Agency | 9638257736 |
1 other NPI on this enrollment Practice locations: Clearwater, FL |
National Provider Directory
- Part of
- Caretenders Visiting Services of Pinellas County LLC
Locations
311 Park Place Blvd
Ste 100
Clearwater, FL 33759
Phone (727) 531-0300
11030 49th St N
Clearwater, FL 33762
Phone (727) 546-8080
50 S Belcher Rd
Ste 112
Clearwater, FL 33765
Phone (727) 584-1824
29399 US Highway 19 N
Ste 350
Clearwater, FL 33761
Phone (727) 584-1824
7615 Little Rd
New Port Richey, FL 34654
Phone (727) 796-2210
6445 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 546-8080
3491 Gandy Blvd N
Ste 110
Pinellas Park, FL 33781
Phone (727) 546-8080
7800 66th St N
Ste 301
Pinellas Park, FL 33781
Phone (727) 544-1600
35772 Pure Water Way
Ste 102
Zephyrhills, FL 33541
Phone (727) 546-9692
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
311 Park Place Blvd Ste 100
Clearwater, FL 33759-3923
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names
- Mederi Caretenders
Other providers in Clearwater, FL
- Caremont Health LLC
- Careplus Health Care Services LLC
- Carepoint Florida LLC
- Carepoint Florida LLC
- Cares Home Healthcare of Pinellas Corp
- Caretenders Visiting Services of Pinellas County, LLC
- Careworks Managed Care Services, Inc.
- Careworks National Corp.
- Anne E Carey
- Caring About You Services, LLC
All providers in Clearwater, 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 Sep 16, 2024. 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.