NPIMap

Organization Active NPI

Providia Home Care LLC.

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1245409010
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993041 Issued in FL
Legal business name
PROVIDIA HOME CARE LLC.
Practice address
5292 Summerlin Commons Way Ste 1102
Fort Myers, FL 33907-2163
Phone
(239) 425-2670
Fax
(239) 425-2671
NPI assigned
Feb 26, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Christopher Andrew Melley
Title
Ceo
Phone
(239) 425-2670

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

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

Facilities with the same owner 4

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

  • Providia Home Care LLC.
    • Home Health Agency
    • Bradenton, FL
    • NPI 1932935459

    BB-HH Holdings, LLC, BB-HH Platform, Inc., Blackbern HH Investments, LLC, Matevosyan Inc, Melley Home Health Holdings, LLC, P3-Pe, LLC, Providia Home Care Holdings LLC, The Christopher Melley Irrevocable Trust Dated October 30, 2020

    CMS ownership
  • Providia Home Care of Palm Beach LLC
    • Home Health Agency
    • West Palm Beach, FL
    • NPI 1285419788

    BB-HH Holdings, LLC, BB-HH Platform, Inc., Blackbern HH Investments, LLC, Matevosyan Inc, Melley Home Health Holdings, LLC, P3-Pe, LLC, Providia Home Care Holdings LLC, The Christopher Melley Irrevocable Trust Dated October 30, 2020

    CMS ownership
  • Rutledge-Regency Operations, LLC
    • Skilled Nursing Facility
    • Springfield, IL
    • NPI 1053557009

    Matevosyan Inc

    CMS ownership
  • Souderton Mennonite Homes
    • Skilled Nursing Facility
    • Souderton, PA
    • NPI 1871584409

    Matevosyan Inc

    CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 367

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

View all 367

Care Compare: Home health agency

Medicare Care Compare
Listed as
Preferred Care Home Health ServicesCCN 109423
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 10, 2009
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
10D1078884Providia Home Care, LLC5292 Summerlin Commons Way - Ste 1102, Fort Myers, FL 33907Certificate of waiverJan 16, 2028
10D2065782Providia Home Care LLC3560 Kraft Road #301, Naples, FL 34105Certificate of waiverSep 15, 2027

Medicare participation

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

Home health agency certification: CCN 109423

Medicare enrollment files
Legal name
PROVIDIA HOME CARE LLC
Doing business as
PREFERRED CARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 2009
Last certification
Sep 9, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 10, 2007 in FL
Enrollment address
5292 Summerlin Commons Way 1102
Fort Myers, FL 33907-2163

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Christopher Melley Individual Corporate Officer Dec 31, 2020
W-2 Managing Employee Mar 17, 2008
Amanda Attia Individual W-2 Managing Employee May 17, 2023
BB-HH Holdings, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 100%
Blackbern HH Investments, LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 51.94%
The Christopher Melley Irrevocable Trust Dated October 30, 2020 Organization, Fort Myers, FL 5% Or Greater Indirect Ownership Interest May 16, 2023 47.95%
Matevosyan Inc Organization, Senningerber 5% Or Greater Indirect Ownership Interest May 16, 2023 30.54%
Melley Home Health Holdings, LLC Organization, Naples, FL Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 47.95%
P3-Pe, LLC Organization, Seattle, WA LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 11.48%
Providia Home Care Holdings LLC Organization, Fort Myers, FL LLC, Holding company 5% Or Greater Direct Ownership Interest May 16, 2023 100%
Operational/Managerial Control May 16, 2023 100%
BB-HH Platform, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest May 16, 2023 100%
Amy Montgomery Individual W-2 Managing EmployeeDirector of Nursing Jul 14, 2022
Christoph Peters Individual Corporate Officer May 31, 2023
W-2 Managing Employee May 31, 2023

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080529000163 FL Part a Provider - Home Health Agency 5092885376 Practice locations: Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory
Tax ID family
Preferred Care Home Health Services (2 organizations share this tax ID)

Locations

204 E Sugarland Hwy
Clewiston, FL 33440
Phone (863) 818-2400

5292 Summerlin Commons Way
Ste 102
Fort Myers, FL 33907

301 N Cattlemen Rd
Ste 101
Sarasota, FL 34232
Phone (941) 843-3300

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)…

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993041 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5292 Summerlin Commons Way Ste 1102
Fort Myers, FL 33907-2163

Mailing address

5292 Summerlin Commons Way Ste 1102
Fort Myers, FL 33907-2163
Phone (239) 425-2670

Other practice location 1

3560 Kraft Rd Ste 301
Naples, FL 34105-5035
Phone (239) 262-2400

Other practice location 2

204 E Sugarland Hwy
Clewiston, FL 33440-3122
Phone (863) 818-2400

Other practice location 3

301 N Cattlemen Rd Ste 101
Sarasota, FL 34232-6429
Phone (941) 843-3300

Other names 1

NPPES NPI Registry
  • Preferred Care Home Health Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2025.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1245409010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 SUMMERLIN COMMONS WAY STE 1102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072163",
            "telephone_number": "239-425-2670",
            "fax_number": "239-425-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 SUMMERLIN COMMONS WAY STE 1102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072163",
            "telephone_number": "239-425-2670",
            "fax_number": "239-425-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Kraft Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055035",
            "country_code": "US",
            "telephone_number": "239-262-2400",
            "fax_number": "239-262-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 E Sugarland Hwy",
            "address_purpose": "LOCATION",
            "city": "Clewiston",
            "state": "FL",
            "postal_code": "334403122",
            "country_code": "US",
            "telephone_number": "863-818-2400",
            "fax_number": "863-818-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Cattlemen Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342326429",
            "country_code": "US",
            "telephone_number": "941-843-3300",
            "fax_number": "941-843-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDIA HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MELLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-425-2670"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.