Active NPI
Southeastern Therapies, Inc.
- Home Health Agency
- Crystal River, FL
National Provider Identifier
1275789653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOUTHEASTERN THERAPIES, INC.
- Practice address
- 8016 W Gulf to Lake Hwy
Crystal River, FL 34429-7928 - Phone
- (352) 564-2738
- NPI assigned
- Aug 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Campbell, P.T.
- Title
- Administrator
- Phone
- (352) 564-2738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8016 W Gulf to Lake Hwy
Crystal River, FL 34429-7928
Mailing address
8016 W Gulf to Lake Hwy
Crystal River, FL 34429-7928
Phone (352) 564-2738
Other names 1
- S. E. T. HOME HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000205 | FL | Part A Provider - Home Health Agency | 6204985013 | Practice locations: Crystal River, FL |
Home health agency certification: CCN 109342
- Legal name
- SOUTHEASTERN THERAPIES, INC.
- Doing business as
- S.E.T. HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 15, 2009
- Last certification
- Sep 8, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 26, 2007 in FL
- Enrollment address
- 8016 W Gulf to Lake Hwy
Crystal River, FL 34429-7928
Care Compare: Home health agency
Medicare Care Compare- Listed as
- S E T Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 15, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
8016 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 564-2738
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hurley Campbell Jr | 5% Or Greater Direct Ownership Interest | Jan 16, 2009 | 50% |
| Corporate Director | Jan 16, 2009 | 50% | |
| Jodi Warner-Campbell | 5% Or Greater Direct Ownership Interest | Jan 16, 2009 | 50% |
| Corporate Director | Jan 16, 2009 | 50% | |
| Operational/Managerial Control | Jan 19, 2009 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Crystal River, FL
- NPI 1376574251
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Crystal River, FL
- NPI 1407850365
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1275789653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8016 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344297928",
"telephone_number": "352-564-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8016 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344297928",
"telephone_number": "352-564-2738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN THERAPIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-17",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "352-564-2738",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "S. E. T. HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.