NPIMap

Organization Active NPI

Sumilang Health Care LLC

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1134487697
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMILANG HEALTH CARE LLC
Practice address
2040 NE Coachman Rd Ste B
Clearwater, FL 33765-2610
Phone
(727) 345-3600
Fax
(727) 245-8567
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Robert Daniel Sparks, RN
Title
Owner
Phone
(727) 641-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2040 NE Coachman Rd Ste B
Clearwater, FL 33765-2610

Mailing address

2040 NE Coachman Rd Ste B
Clearwater, FL 33765-2610
Phone (727) 345-3600

Other names 1

  • Primecare 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
O20121026000591 FL Part A Provider - Home Health Agency 8729238753 Practice locations: Clearwater, FL

Home health agency certification: CCN 103197

Legal name
SUMILANG HEALTH CARE LLC
Doing business as
PRIMECARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 14, 2013
Last certification
Mar 1, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 20, 2012 in FL
Enrollment address
2040 NE Coachman Rd
Ste B
Clearwater, FL 33765-2610

Care Compare: Home health agency

Medicare Care Compare
Listed as
Primecare Home HealthCCN 103197
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 14, 2013
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
10D2214569Sumilang Health Care LLC2040 NE Coachman Rd Suite B, Clearwater, FL 33765Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

4399 35th St N
Ste 3D
St Petersburg, FL 33714
Phone (727) 483-7533

5741 9th Ave N
St Petersburg, FL 33710
Phone (727) 345-3600

6630 34th Ave N
St Petersburg, FL 33710
Phone (727) 343-6462

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Trip S Inc Organization, Oldsmar, FL Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Operational/Managerial Control Jan 1, 2021 100%
Christopher Stine Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 40%
Corporate OfficerPres Feb 1, 2022 40%
W-2 Managing EmployeePres Feb 1, 2022 40%
Operational/Managerial ControlCeo Feb 1, 2022 40%
Jami Sauerwein Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 40%
Corporate Officer Feb 1, 2022 40%
W-2 Managing Employee Feb 1, 2022 40%
Operational/Managerial Control Feb 1, 2022 40%
Robert Sparks Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 50%
Corporate OfficerVP Feb 1, 2022 40%
W-2 Managing EmployeeVP Feb 1, 2022 40%
Operational/Managerial ControlVP Feb 1, 2022 40%

Practitioners & affiliated clinicians

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1134487697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 NE COACHMAN RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652610",
            "telephone_number": "727-345-3600",
            "fax_number": "727-245-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 NE COACHMAN RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652610",
            "telephone_number": "727-345-3600",
            "fax_number": "727-245-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMILANG HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-641-1116",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primecare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.