Organization Active NPI

Concierge Home Care of Tallahassee LLC

Doing business as Concierge Home Care

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1285237289
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CONCIERGE HOME CARE OF TALLAHASSEE LLC
Doing business as
Concierge Home Care
Practice address
2075 Centre Pointe Blvd Ste 102
Tallahassee, FL 32308-7835
Phone
(904) 733-1003
Fax
(904) 448-8855
NPI assigned
Nov 20, 2020
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mr. Robert Gregory Young
Title
Secretary & Cao
Phone
(904) 733-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2075 Centre Pointe Blvd Ste 102
Tallahassee, FL 32308-7835

Mailing address

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone (904) 733-1003

Other identifiers 2

IdentifierTypeStateIssuer
299995252OtherFLAHCA
10D2220720OtherFLCLIA

Other names 1

  • Concierge Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414002092 FL Part A Provider - Home Health Agency 3971911819 Practice locations: Chipley, FL; Tallahassee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285237289. Details of each certification follow.

Home health agency certification: CCN 687141

Legal name
CONCIERGE HOME CARE OF TALLAHASSEE LLC
Doing business as
CONCIERGE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 30, 2021
Last certification
Oct 22, 2021
Organization structure
LLCProprietary
Incorporated
Sep 11, 2020 in FL
Enrollment address
2075 Centre Pointe Blvd
Ste 102
Tallahassee, FL 32308-7835

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concierge Home CareCCN 687141 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Nov 30, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2220720Concierge Home Care of Tallahassee LLC2075 Centre Pointe Boulevard Suite 102, Tallahassee, FL 32308Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

2075 Centre Pointe Blvd
Tallahassee, FL 32308

2075 Centre Pointe Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 558-4912

Networks

  • 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 Máximo (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)…
  • 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)

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Homecare Partners Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 99%
Concierge Home Care of Tallahassee Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 11, 2020 100%
Waud Homecare Partners Holdings, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 77.13%
Jeffrey L Fisher Individual Corporate OfficerPresident Sep 11, 2020
New York State Teachers' Retirement System Organization, Albany, NY Non-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 5.41%
Villages Owners Holdings, Inc. Organization, Jacksonville, FL Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 8.09%
Reeve B Waud Individual 5% Or Greater Indirect Ownership Interest Sep 11, 2020 5%
Homecare Partners Management, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 100%
Erika Pipkin Individual W-2 Managing EmployeeAd; Aug 28, 2025
Homecare Partners Acquisition Co., LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 100%
Robert Young Individual 5% Or Greater Indirect Ownership InterestSecretary Sep 11, 2020 6.78%
Corporate OfficerSecretary Sep 11, 2020
Operational/Managerial ControlSec & Chief Admin Officer Oct 9, 2021
Boylston, LLC Organization, New Haven, CT LLC, Non-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 7.21%
Demetrice Jackson Individual W-2 Managing EmployeeDon & Alt. Admin Jun 1, 2025
Waud Capital Affiliates IV, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 10.75%
Homecare Partners Intermediate Holdings, LLC Organization, Jacksonville, FL LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 100%
WCP Fif IV (Homecare Partners), L.P. Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 20.78%
David Christopher Rucker Individual Corporate OfficerChief Executive Officer Sep 11, 2020
Joseph Malone Individual W-2 Managing EmployeeCfo Jun 1, 2025
Waud Capital Partners QP IV, L.P. Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 44.42%
James Spriggs Individual 5% Or Greater Indirect Ownership Interest Sep 11, 2020 6.78%
Jacksonville Owners Holdings, Inc. Organization, Jacksonville, FL Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2020 12.76%
Crescent Agency Services, LLC Organization, Boston, MA LLC 5% Or Greater Security Interest May 25, 2021 100%

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1285237289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560957",
            "telephone_number": "904-733-1003",
            "fax_number": "904-448-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 CENTRE POINTE BLVD STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087835",
            "telephone_number": "904-733-1003",
            "fax_number": "904-448-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE HOME CARE OF TALLAHASSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SECRETARY & CAO",
        "authorized_official_telephone_number": "904-733-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299995252",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2220720",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.