Arc Hospice of Florida, LLC

Organization Active NPI Community Based Hospice Care Agency · Leesburg, FL

NPI 1194568360 · NPPES record last updated May 19, 2025

Key facts

NPI
1194568360
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
ARC HOSPICE OF FLORIDA, LLC
Practice address
700 N Palmetto St FL 3
Leesburg, FL 34748-4419
Phone
(352) 204-8282
NPI assigned
Jun 17, 2024
Organization subpart
No

Authorized official

Name
Moshe Becker
Title
Consultant
Phone
(914) 907-1372

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 2

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

Affiliated clinicians 3

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

Medicare Care Compare: Hospice

Listed as
Arc Hospice of Florida LLC CCN 101575
Certified
Jul 3, 2025
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2335361Arc Hospice of Florida LLC
700 N Palmetto St FL 3, Leesburg, FL 34748
Certificate of waiverDec 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Hospice certification: CCN 101575

Legal name
ARC HOSPICE OF FLORIDA, LLC
Doing business as
ARC HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 3, 2025
Last certification
Jun 6, 2025
Organization structure
LLC
Enrollment address
700 N Palmetto St
FL 3
Leesburg, FL 34748-4419

All disclosed owners & managing parties 19

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

NameRoleSinceShare
K-Ahh Trust
Organization · Miami, FL
5% Or Greater Indirect Ownership Interest Dec 1, 2024 11.7%
American Hospice Care LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Maikel Gad
Individual
W-2 Managing Employee
MD;
Nov 10, 2024
Moss M Ellenbogen
Individual
Other Dec 1, 2024
S Holdings-Ahh LLC
Organization · Miami, FL
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2024 19.7%
Melody King
Individual
W-2 Managing Employee
Ad;
Jul 1, 2024
Walnut Court Hospice LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 6.1%
Am Hospice Holdings LLC
Organization · Brooklyn, NY
Holding company
5% Or Greater Indirect Ownership Interest Jul 1, 2024 57.7%
American Hospice Systems LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
L Holdings-Ahh LLC
Organization · Miami, FL
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2024 19.7%
K Holdings-Ahh LLC
Organization · Miami, FL
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Dec 1, 2024 11.7%
Ahs FL Operations LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
David M Glick
Individual
5% Or Greater Indirect Ownership Interest
Ceo & LLC Manager
Jul 1, 2024 23.5%
Corporate Officer
Ceo & LLC Manager
Jul 1, 2024 100%
Walnut Court Unfunded LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 10%
American Hospice Intermediate Holdco LLC
Organization · Ridgefield Park, NJ
Holding company, Owned by another organization or individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
S-Ahh Trust
Organization · Miami, FL
5% Or Greater Indirect Ownership Interest Dec 1, 2024 19.7%
Seth Ezra Gribetz
Individual
5% Or Greater Indirect Ownership Interest Jul 1, 2024 14.5%
L-Ahh Trust
Organization · Miami, FL
5% Or Greater Indirect Ownership Interest Dec 1, 2024 19.7%
Lubna Aslam Rashid
Individual
Contracted Managing Employee
MD;
Apr 13, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250331001985 FL Part a Provider - Hospice 1052834017 Practice locations: Leesburg, FL

National Provider Directory

Tax ID family
Arc Hospice of Florida LLC (2 organizations share this tax ID)

Locations

700 N Palmetto St
Fl 3
Leesburg, FL 34748
Phone (352) 204-8282

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

700 N Palmetto St FL 3
Leesburg, FL 34748-4419

Mailing address

100 Challenger Rd
Ridgefield Park, NJ 07660-2108

Other providers in Leesburg, FL

All providers in Leesburg, FL · Community Based Hospice Care Agency in Florida

Sources for this page

Verify at the official NPI Registry.