Organization Active NPI

Avian Home Health LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1275957987
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVIAN HOME HEALTH LLC
Practice address
7117 N Armenia Ave
Tampa, FL 33604
Phone
(813) 935-4666
Fax
(813) 935-4777
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Mr. Benjamin Wallace
Title
Manager
Phone
(607) 592-4205

Specialties & licenses 1

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

Addresses

Primary practice location

7117 N Armenia Ave
Tampa, FL 33604

Mailing address

7117 N Armenia Ave
Tampa, FL 33604
Phone (813) 935-4666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140718002005 FL Part A Provider - Home Health Agency 5890911341 Practice locations: Tampa, FL

Home health agency certification: CCN 683160

Legal name
AVIAN HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 9, 2014
Last certification
May 25, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 1, 2014 in FL
Enrollment address
7117 N Armenia Ave
Tampa, FL 33604-5250
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avian Home Health CorpCCN 683160
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 9, 2014
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
10D2085215Avian Home Health LLC7117 N Armenia Ave, Tampa, FL 33604Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Avian Home Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8910 N Dale Mabry Hwy
Ste 5
Tampa, FL 33614

7117 N Armenia Ave
Tampa, FL 33604
Phone (813) 935-4666

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
Tin Goose Health Holdings, LLC Organization, Oakbrook Terrace, IL LLC 5% Or Greater Direct Ownership Interest Jan 27, 2023 100%
Benjamin Wallace Individual 5% Or Greater Indirect Ownership InterestCeo Jan 27, 2023 27.24%
W-2 Managing Employee Jan 27, 2023
Tin Goose Health Investors LLC Organization, Oakbrook Terrace, IL LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 27, 2023 100%
Nolan Dohnalek Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2023 8.81%
Dayni Borges Individual W-2 Managing Employee Mar 9, 2023
Emily Schnaper Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2023 27.24%
James Charles Hays Individual 5% Or Greater Indirect Ownership Interest Jan 27, 2023 13.49%
Dianet Hernandez Individual W-2 Managing Employee Mar 9, 2023
Nelly Merzheritsky Individual 5% Or Greater Indirect Ownership Interest May 20, 2025 5.4%
Emily Schnaper Trust Organization, Winnetka, IL 5% Or Greater Indirect Ownership Interest May 20, 2025 27.24%
Theodore Roosevelt Progressive Trust Organization, Sioux Falls, SD 5% Or Greater Indirect Ownership Interest Jan 27, 2023 13.75%
James C. Hays Revocable Trust Organization, Miami Beach, FL 5% Or Greater Indirect Ownership Interest May 20, 2025 13.49%

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1275957987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-935-4666",
            "fax_number": "813-935-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-935-4666",
            "fax_number": "813-935-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIAN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "607-592-4205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.