Organization Active NPI

Psychaccess and Recovery Solutions, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1124415328
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299994442 Issued in FL
Legal business name
PSYCHACCESS AND RECOVERY SOLUTIONS, LLC
Practice address
8665 Baypine Rd Ste 215
Jacksonville, FL 32256-7541
Phone
(844) 808-9096
Fax
(904) 638-8752
NPI assigned
Apr 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Blake Ehler
Title
Chief Executive Officer
Phone
(844) 808-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299994442 FL Primary

Addresses

Primary practice location

8665 Baypine Rd Ste 215
Jacksonville, FL 32256-7541

Mailing address

8665 Baypine Rd Ste 215
Jacksonville, FL 32256-7541
Phone (844) 808-9096

Other names 1

  • Access Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426001986 FL Part A Provider - Home Health Agency 0244530723 Practice locations: Jacksonville, FL

Home health agency certification: CCN 687026

Legal name
PSYCHACCESS AND RECOVERY SOLUTIONS, LLC
Doing business as
ACCESS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 2019
Last certification
Dec 5, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 24, 2015 in FL
Enrollment address
8665 Baypine Rd
Ste 215
Jacksonville, FL 32256-7559

Care Compare: Home health agency

Medicare Care Compare
Listed as
Access Home HealthCCN 687026
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 5, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, 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
10D2099653Access Home Health8665 Baypine Rd Ste 215, Jacksonville, FL 32256Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

8665 Baypine Rd
Ste 215
Jacksonville, FL 32256
Phone (844) 808-9096

Ownership & related parties

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.

NameRoleSinceShare
William S Hyder Individual 5% Or Greater Direct Ownership InterestPresident Jun 1, 2023 45%
W-2 Managing EmployeePresident Jun 1, 2023 45%
Blake Ehler Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Jun 1, 2023 55%
W-2 Managing EmployeeChief Executive Officer Jun 1, 2023 55%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 3

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": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1124415328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 BAYPINE RD STE 215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567541",
            "telephone_number": "844-808-9096",
            "fax_number": "904-638-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 BAYPINE RD STE 215",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567541",
            "telephone_number": "844-808-9096",
            "fax_number": "904-638-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHACCESS AND RECOVERY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "EHLER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "844-808-9096"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.