NPIMap

Organization Active NPI

Caretenders Visiting Services of St. Augustine, LLC

Doing business as Community Home Health Care

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1235236449
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC
Doing business as
Community Home Health Care
Practice address
3440 US Highway 1 S Ste 403
St Augustine, FL 32086-6363
Phone
(904) 810-5474
Fax
(904) 826-0224
NPI assigned
Sep 20, 2006
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3440 US Highway 1 S Ste 403
St Augustine, FL 32086-6363

Mailing address

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511
Phone (337) 233-1307

Other names 1

  • Community Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000235 FL Part A Provider - Home Health Agency 3072528496 Practice locations: St Augustine, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235236449. Details of each certification follow.

Home health agency certification: CCN 107159

Legal name
CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC
Doing business as
COMMUNITY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 1977
Last certification
Sep 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 26, 2005 in FL
Enrollment address
3440 US Highway 1 S
Ste 403
St Augustine, FL 32086-6363

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home Health CareCCN 107159 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 6, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
10D0713473Community Home Health Care3440 US Highway 1 South Suite 403, Saint Augustine, FL 32086Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Apex Companion Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3440 US Highway 1 S
Ste 403
Saint Augustine, FL 32086
Phone (904) 810-5474

301 Health Park Blvd
Ste 110
St Augustine, FL 32086
Phone (904) 810-5474

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing Employee Apr 13, 2026
Sarah Johnson Individual W-2 Managing EmployeeDon/Alternate Administrator Feb 1, 2024
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Michaela Deavers Individual W-2 Managing EmployeeAd; Dec 4, 2025
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2018
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 26, 2005 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest May 26, 2008 100%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1235236449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HUGH WALLIS RD S",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082511",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 US HIGHWAY 1 S STE 403",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866363",
            "telephone_number": "904-810-5474",
            "fax_number": "904-826-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.