Concierge Home Care of Tallahassee LLC
Organization Active NPI Home Health Agency · Tallahassee, FL
NPI 1285237289 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1285237289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CONCIERGE HOME CARE OF TALLAHASSEE LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Gregory Young
- Title
- Secretary & Cao
- Phone
- (904) 733-1003
Facilities with the same owner 24
Affiliated clinicians 22
-
Eric S Bouchard, MD
-
Trisha Clark, PA-C
-
Kyle Vincent Contini, M.D.
-
Chesley F Durgin III, M.D.
-
Marlisha T Edwards, M.D.
-
William Lantz Effinger I, D.O.,M.S.
-
Pamela Paige Garcia, ARNP
-
Hank Lawrence Hutchinson, M.D.
-
Shaun E Laurie, M.D.
-
Juan R Martinez Vargas, M.D.
-
Marino Antonio Martinez, M.D.
-
Rashida A Reid, MD
-
Laura Rosner, M.D.
-
Sabrina Marie Santucci, PA-C
-
Christina Mann Slotter, APRN
-
Heather Dawn Upchurch, FNP-BC
-
Brian James Zirgibel, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Concierge Home Care
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- -
- Certified
- Nov 30, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2220720 | Concierge Home Care of Tallahassee LLC | Certificate of waiver | Apr 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
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
- LLC · Proprietary
- Incorporated
- Sep 11, 2020 in FL
- Enrollment address
- 2075 Centre Pointe Blvd
Ste 102
Tallahassee, FL 32308-7835
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Homecare Partners Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 99% |
| Concierge Home Care of Tallahassee Holdings, LLC |
5% Or Greater Direct Ownership Interest | Sep 11, 2020 | 100% |
| Waud Homecare Partners Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 77.13% |
| Jeffrey L Fisher |
Corporate Officer |
Sep 11, 2020 | |
| New York State Teachers' Retirement System |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 5.41% |
| Villages Owners Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 8.09% |
| Reeve B Waud |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 5% |
| Homecare Partners Management, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 100% |
| Erika Pipkin |
W-2 Managing Employee |
Aug 28, 2025 | |
| Homecare Partners Acquisition Co., LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 100% |
| Robert Young |
5% Or Greater Indirect Ownership Interest |
Sep 11, 2020 | 6.78% |
| Corporate Officer |
Sep 11, 2020 | ||
| Operational/Managerial Control |
Oct 9, 2021 | ||
| Boylston, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 7.21% |
| Demetrice Jackson |
W-2 Managing Employee |
Jun 1, 2025 | |
| Waud Capital Affiliates IV, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 10.75% |
| Homecare Partners Intermediate Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 100% |
| WCP Fif IV (Homecare Partners), L.P. |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 20.78% |
| David Christopher Rucker |
Corporate Officer |
Sep 11, 2020 | |
| Joseph Malone |
W-2 Managing Employee |
Jun 1, 2025 | |
| Waud Capital Partners QP IV, L.P. |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 44.42% |
| James Spriggs |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 6.78% |
| Jacksonville Owners Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Sep 11, 2020 | 12.76% |
| Crescent Agency Services, LLC |
5% Or Greater Security Interest | May 25, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210414002092 | FL | Part a Provider - Home Health Agency | 3971911819 | Practice locations: Chipley, FL; Tallahassee, FL |
National Provider Directory
Locations
831 Kirkland Rd
Chipley, FL 32428
Phone (850) 558-4912
2075 Centre Pointe Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 558-4912
2075 Centre Pointe Blvd
Tallahassee, FL 32308
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D2220720 | Other | FL | CLIA |
| 299995252 | Other | FL | AHCA |
Other names
- Concierge Home Care
Other providers in Tallahassee, FL
- Compassionate and Loving Hands LLC
- Compassionate Touch Home Care Services LLC
- Complete Practice Solutions and Consulting LLC
- Alyssa Conarton
- James Concar
- Nicole Lauren Conde
- Madalyn Esther Conetta
- Megan Coney
- Deborah Anne Congdon
- Alicia Gail Conger
All providers in Tallahassee, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.