Organization Active NPI

Arc Hospice of Florida, LLC

  • Community Based Hospice Care Agency
  • Leesburg, FL
National Provider Identifier
1194568360
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 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
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

100 Challenger Rd
Ridgefield Park, NJ 07660-2108

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194568360. Details of each certification follow.

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Arc Hospice of Florida LLCCCN 101575 · All quality measures
Certified
Jul 3, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2335361Arc Hospice of Florida LLC700 N Palmetto St FL 3, Leesburg, FL 34748Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Arc Hospice of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

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

Ownership & related parties

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 EmployeeMD; 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 EmployeeAd; 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 InterestCeo & LLC Manager Jul 1, 2024 23.5%
Corporate OfficerCeo & 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 EmployeeMD; Apr 13, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

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": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1194568360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHALLENGER RD",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PALMETTO ST FL 3",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484419",
            "telephone_number": "352-204-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC HOSPICE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "914-907-1372"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.