Active NPI
Arc Hospice of Florida, LLC
- Community Based Hospice Care Agency
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Certified
- Jul 3, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2335361 | Arc Hospice of Florida LLC | Certificate of waiver | Dec 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Arc Hospice of Florida LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Davie, FL
- NPI 1952282980
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.
| Name | Role | Since | Share |
|---|---|---|---|
| K-Ahh Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 11.7% |
| American Hospice Care LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 100% |
| Maikel Gad | W-2 Managing Employee | Nov 10, 2024 | |
| Moss M Ellenbogen | Other | Dec 1, 2024 | |
| S Holdings-Ahh LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 19.7% |
| Melody King | W-2 Managing Employee | Jul 1, 2024 | |
| Walnut Court Hospice LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 6.1% |
| Am Hospice Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 57.7% |
| American Hospice Systems LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 100% |
| L Holdings-Ahh LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 19.7% |
| K Holdings-Ahh LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 11.7% |
| Ahs FL Operations LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 100% |
| David M Glick | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 23.5% |
| Corporate Officer | Jul 1, 2024 | 100% | |
| Walnut Court Unfunded LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 10% |
| American Hospice Intermediate Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 100% |
| S-Ahh Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 19.7% |
| Seth Ezra Gribetz | 5% Or Greater Indirect Ownership Interest | Jul 1, 2024 | 14.5% |
| L-Ahh Trust | 5% Or Greater Indirect Ownership Interest | Dec 1, 2024 | 19.7% |
| Lubna Aslam Rashid | Contracted Managing Employee | 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.
-
- Internal Medicine Physician
- Tavares, FL
- NPI 1760626337
Contracted Managing Employee
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Pittsburgh, PA
- NPI 1336783323
Am Hospice Holdings LLC, American Hospice Care LLC, American Hospice Intermediate Holdco LLC, American Hospice Systems LLC, K Holdings-Ahh LLC, L Holdings-Ahh LLC, L-Ahh Trust, S Holdings-Ahh LLC, S-Ahh Trust, Walnut Court Unfunded LLC
-
dba Arc Hospice & Palliative Care
- Community Based Hospice Care Agency
- Corsicana, TX
- NPI 1114008331
Am Hospice Holdings LLC, American Hospice Care LLC, American Hospice Systems LLC, Walnut Court Hospice LLC, Walnut Court Unfunded LLC
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Ocala, FL
- NPI 1053409144
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.