NPIMap

Organization Active NPI

Lucent Health, LLC

  • Home Health Agency
  • Daytona Beach, FL
National Provider Identifier
1205465507
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCENT HEALTH, LLC
Practice address
1110 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Phone
(386) 801-9940
NPI assigned
Apr 7, 2020
Last updated
Aug 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Authorized official

Name
Iyad Shaker
Title
Administrator
Phone
(386) 265-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1110 Pelican Bay Dr
Daytona Beach, FL 32119-1381

Mailing address

1110 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Phone (386) 265-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118003309 FL Part A Provider - Home Health Agency 8426469610 Practice locations: Daytona Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205465507. Details of each certification follow.

Home health agency certification: CCN 687112

Legal name
LUCENT HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2021
Last certification
Jun 23, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1110 Pelican Bay Dr
Daytona Beach, FL 32119-1381

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lucent Health, LLCCCN 687112 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 30, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D2216221Lucent Health LLC1110 Pelican Bay Dr, Daytona Beach, FL 32119Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Iyad Shaker Individual 5% Or Greater Direct Ownership Interest Jul 21, 2025 100%
5% Or Greater Indirect Ownership Interest Mar 20, 2020 100%
Corporate Officer Mar 20, 2020
W-2 Managing EmployeeAd; Mar 20, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1205465507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191381",
            "telephone_number": "386-265-0012",
            "fax_number": "386-265-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191381",
            "telephone_number": "386-801-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-265-0012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.