NPIMap

Organization Active NPI

Lee Senior Services, LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1104423862
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEE SENIOR SERVICES, LLC
Practice address
16451 Healthpark Commons Dr
Fort Myers, FL 33908-9501
Phone
(239) 349-3300
Fax
(239) 418-2540
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Troy Churchill, ADMINISTRATOR
Title
Administrator
Phone
(239) 349-3296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16451 Healthpark Commons Dr
Fort Myers, FL 33908-9501

Mailing address

16451 Healthpark Commons Dr Ste 102
Fort Myers, FL 33908-9501
Phone (239) 297-7377

Other names 1

  • HOME HEALTH BY CYPRESS AT HOME Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209000621 FL Part A Provider - Home Health Agency 1153740915 Practice locations: Fort Myers, FL

Home health agency certification: CCN 109366

Legal name
LEE SENIOR SERVICES LLC
Doing business as
HOME HEALTH BY CYPRESS AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 25, 2009
Last certification
Nov 20, 2020
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Oct 1, 2014 in FL
Enrollment address
16451 Healthpark Commons Dr
Fort Myers, FL 33908-9501

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
Home Health by Cypress at HomeCCN 109366
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Mar 25, 2009
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
10D1072907Lee Senior Services, LLC Dba16451 Healthpark Commons Drive, Fort Myers, FL 33908Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Locations

16451 Healthpark Commons Dr
Ste 102
Fort Myers, FL 33908

9800 S Healthpark Dr
Ste 310
Fort Myers, FL 33908

4100 Center Pointe Dr
Ste 111112
Fort Myers, FL 33916

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBDD

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Troy Churchill Individual Corporate Officer Jun 14, 2019 100%
Jeff Dunkle Individual W-2 Managing EmployeeVP of Finance Jul 1, 2022 100%
Lee Memorial Hospital Inc Organization, Fort Myers, FL Corporation 5% Or Greater Direct Ownership Interest Oct 5, 2020 100%

Facilities with the same owner 1

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

Change-of-ownership history 1

DateEventCounterparty
Oct 5, 2020 Change of OwnershipThis provider was the buyer All About Home Care, Inc.CCN 109366, FL, NPI 1881819027

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1104423862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16451 HEALTHPARK COMMONS DR STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089501",
            "telephone_number": "239-297-7377",
            "fax_number": "239-418-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16451 HEALTHPARK COMMONS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089501",
            "telephone_number": "239-349-3300",
            "fax_number": "239-418-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-349-3296",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME HEALTH BY CYPRESS AT HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOME HEALTH BY CYPRESS AT HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.