Hestia Healthcare at Home, LLC
Organization Active NPI Home Health Agency · Bradenton, FL
NPI 1194874776 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1194874776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 21127096 (FL)
- Legal business name
- HESTIA HEALTHCARE AT HOME, LLC
- Practice address
- 109 44TH Ave E Ste 215
Bradenton, FL 34203-3639 - Phone
- (941) 748-6010
- Fax
- (941) 747-5353
- NPI assigned
- Jan 10, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTH AT HOME-BHS, LLC
Authorized official
- Name
- William Bradley Parrish
- Title
- Cfo, Home Health & Hospice
- Phone
- (512) 565-8439
Owners & managing parties with NPI records 9
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Member of 1
Facilities with the same owner 173
Practitioners 1
-
William L Filer, PT MPT
Affiliated clinicians 64
-
Shahnaz Ahmed, M.D.
-
Joseph P Alesnik, M.D
-
Daniel Amoah, MD
-
Charles A Baten, MD
-
David V Cashen, MD
-
Andrew Robert Clark, D.O.
-
Scott K Clulow, DO
-
Naderge Dumorne, MD
-
Krystle Gish, DO
-
Alessandro Golino, M.D.
-
Andrew M Guzman, MD
-
Joseph Haider, D.O.
-
John W Harkess, M.D.
-
Rozina Idrees, M.D.
-
Marcel A Ionita, MD, PHD
-
Arleta A Kitlas, MD
-
Suguna R. Kona, M.D.
-
Robert Bradley Koser, MD PA
Medicare Care Compare: Home health agency
- Listed as
- HCA Florida Healthcare at Home
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Jul 25, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0987807 | HCA Florida Healthcare at Home | Certificate of waiver | Jun 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 107656
- Legal name
- HESTIA HEALTHCARE AT HOME, LLC
- Doing business as
- HCA FLORIDA HEALTHCARE AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 25, 2001
- Last certification
- Nov 29, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 9, 2007 in DE
- Enrollment address
- 109 44TH Ave E
Ste 215
Bradenton, FL 34203-3639
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Squared LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| HCA Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| H3Ot Corp., LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Eric D Smith |
Operational/Managerial Control |
Jul 1, 2021 | |
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Michael Fazio |
W-2 Managing Employee |
Jul 1, 2019 | |
| Health at Home-BHS, LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Kara Wimberly |
W-2 Managing Employee |
Dec 9, 2024 | |
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 25% |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Hospital Corp LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Jarrod L Watson |
Corporate Officer |
Jul 1, 2021 | |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 13.25% |
| Michael a Marks |
Corporate Officer |
Jan 1, 2023 | |
| Arc Therapy Services LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 100% |
| Brad Williams Parrish |
Corporate Officer |
Mar 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081016000131 | FL | Part a Provider - Home Health Agency | 7214032978 | Practice locations: Bradenton, FL |
National Provider Directory
- Tax ID family
- HCA Florida Healthcare at Home
Locations
2010 59th St W
Ste 4800
Bradenton, FL 34209
Phone (615) 344-4783
100 3rd Ave W
Ste 200
Bradenton, FL 34205
Phone (941) 748-6010
109 44th Ave E
Ste 215
Bradenton, FL 34203
Phone (941) 748-6010
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 21127096 | FL | Yes |
Addresses
Primary practice location
109 44TH Ave E Ste 215
Bradenton, FL 34203-3639
Mailing address
1 Park PLZ
Nashville, TN 37203-6527
Phone (615) 344-9551
Other names
- HCA Florida Healthcare at Home
Other providers in Bradenton, FL
- Josue Herrera
- Edward Herrman
- Laura L. Hershorin
- David Hervig
- Ibrahim Herwis
- Alison Jackson Heusner
- Beth Hicks
- Hidden Lakes Living, LLC
- Isabelle Diane Higgins
- Matthew Ryan Higgins
All providers in Bradenton, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.