Gulfside Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GULFSIDE HOME HEALTH, LLC

Practice address

2061 Collier Pkwy
Land O Lakes, FL 34639-5202

Phone

(813) 501-8244

Fax

(813) 428-5926

NPI assigned

Dec 17, 2018

Organization subpart

Yes

Parent organization

GULFSIDE HOSPICE & PASCO PALLIATIVE CARE, INC.As reported in NPPES

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

Authorized official

Name

Linda L Ward

Title

President & Ceo

Phone

(813) 501-8201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 107608

Legal name

GULFSIDE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 15, 1999

Last certification

Feb 20, 2019

Ownership / control type

Proprietary

Organization structure

LLCNon-profit

Incorporated

Oct 19, 2018 in FL

Enrollment address

2061 Collier Pkwy
Land O Lakes, FL 34639-5202

Listed as

Gulfside Home Health LLCCCN 107608 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Dec 15, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Part of

Gulfside Regional Hospi

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

All disclosed owners & managing parties 4

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

Facilities with the same owner 1

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

• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O Lakes, FL
  • NPI 1144328881

  Gulfside Healthcare Services, Inc.

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Community Aging & Retirement Services, Inc.

  • Home Health Agency
  • Hudson, FL
  • NPI 1578789921

  Acquired from, 2019-04-05

  CMS change of ownership

Affiliated clinicians 5

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

• Vladimir A Alexander, M.D.

  • Orthopaedic Surgery Physician
  • Largo, FL
  • NPI 1417990862

  Home health agency

  Care Compare affiliation
• Michael Diaz, MD

  • Medical Oncology Physician
  • St Petersburg, FL
  • NPI 1871574186

  Home health agency

  Care Compare affiliation
• Mark Samuel Eichenbaum, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Petersburg, FL
  • NPI 1871764977

  Home health agency

  Care Compare affiliation
• Richard George Pigeon, MD, PHD

  • Orthopaedic Surgery of the Spine Physician
  • Clearwater, FL
  • NPI 1548212582

  Home health agency

  Care Compare affiliation
• Scott Vizzi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Largo, FL
  • NPI 1396006482

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1215408109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "813-501-8201",
            "fax_number": "813-428-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395202",
            "telephone_number": "813-501-8244",
            "fax_number": "813-428-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSIDE HOME HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULFSIDE HOSPICE & PASCO PALLIATIVE CARE, INC.",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "813-501-8201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grounded Wellness Chiropractic LLC
• Denise Grunden, OTR
• Guest House Holistic Wellness Center LLC
• Gaylord Guevarra, PT
• Gulf Coast Surgical Assistants, Inc.
• Gulfside Hospice, Inc.
• Alberto R Gutierrez III, DO
• James Daniel Gutierrez, DO
• Luis Antonio Gutierrez, MD
• Valeria Guy

• Home Health Agency in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.