Active NPI
Avian Home Health LLC
- Home Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jan 1, 2014 in FL
- Enrollment address
- 7117 N Armenia Ave
Tampa, FL 33604-5250
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Avian Home Health Corp
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 9, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2085215 | Avian Home Health LLC | Certificate of waiver | Oct 8, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Avian Home Health LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Sarasota, FL
- NPI 1548143340
-
- Home Health Agency
- Jacksonville, FL
- NPI 1790655991
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tin Goose Health Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jan 27, 2023 | 100% |
| Benjamin Wallace | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 27.24% |
| W-2 Managing Employee | Jan 27, 2023 | ||
| Tin Goose Health Investors LLC | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 100% |
| Nolan Dohnalek | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 8.81% |
| Dayni Borges | W-2 Managing Employee | Mar 9, 2023 | |
| Emily Schnaper | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 27.24% |
| James Charles Hays | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 13.49% |
| Dianet Hernandez | W-2 Managing Employee | Mar 9, 2023 | |
| Nelly Merzheritsky | 5% Or Greater Indirect Ownership Interest | May 20, 2025 | 5.4% |
| Emily Schnaper Trust | 5% Or Greater Indirect Ownership Interest | May 20, 2025 | 27.24% |
| Theodore Roosevelt Progressive Trust | 5% Or Greater Indirect Ownership Interest | Jan 27, 2023 | 13.75% |
| James C. Hays Revocable Trust | 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.
-
- Home Health Agency
- Tampa, FL
- NPI 1205076155
Emily Schnaper Trust, James C. Hays Revocable Trust, Theodore Roosevelt Progressive Trust, Tin Goose Health Investors LLC
-
- Home Health Agency
- Hollywood, FL
- NPI 1194283820
Emily Schnaper Trust, James C. Hays Revocable Trust, Theodore Roosevelt Progressive Trust, Tin Goose Health Investors LLC
-
- Home Health Agency
- Boca Raton, FL
- NPI 1710209887
Emily Schnaper Trust, James C. Hays Revocable Trust, Theodore Roosevelt Progressive Trust, Tin Goose Health Investors LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.