Active NPI
Providia Home Care of Palm Beach LLC
Doing business as Preferred Care Home Health Services
- Home Health Agency
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROVIDIA HOME CARE OF PALM BEACH LLC
- Doing business as
- Preferred Care Home Health Services
- Practice address
- 1645 Palm Beach Lakes Blvd Ste 1020
West Palm Beach, FL 33401-2204 - Phone
- (561) 462-1100
- Fax
- (561) 462-1101
- NPI assigned
- Aug 31, 2023
- Last updated
- Sep 19, 2025
- 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
- Christopher Andrew Melley
- Title
- Ceo
- Phone
- (239) 425-2670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1645 Palm Beach Lakes Blvd Ste 1020
West Palm Beach, FL 33401-2204
Mailing address
1645 Palm Beach Lakes Blvd Ste 1020
West Palm Beach, FL 33401-2204
Phone (561) 462-1100
Other practice location 1
1103 N Parrott Ave
Okeechobee, FL 34972-2128
Phone (239) 425-2670
Other practice location 2
291 NW Peacock Blvd Ste 101
Port Saint Lucie, FL 34986-2214
Phone (772) 588-5500
Other names 1
- Preferred Care Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231204001876 | FL | Part A Provider - Home Health Agency | 8628426525 | Practice locations: West Palm Beach, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285419788. Details of each certification follow.
Home health agency certification: CCN 687340
- Legal name
- PROVIDIA HOME CARE OF PALM BEACH LLC
- Doing business as
- PREFERRED CARE HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 13, 2024
- Last certification
- Sep 6, 2024
- Organization structure
- LLC
- Incorporated
- Jun 30, 2023 in DE
- Enrollment address
- 1645 Palm Beach Lakes Blvd
Ste 1020
West Palm Beach, FL 33401-2204
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Preferred Care Home Health Services
- Overall star rating
- Ownership
- -
- Certified
- Sep 13, 2024
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2291402 | Providia Home Care of Palm Beach LLC | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
1103 N Parrott Ave
Okeechobee, FL 34972
Phone (239) 425-2670
291 NW Peacock Blvd
Ste 101
Port Saint Lucie, FL 34986
Phone (772) 588-5500
1645 Palm Beach Lakes Blvd
Ste 1020
West Palm Beach, FL 33401
Phone (561) 462-1100
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Christopher Melley | Corporate Officer | Jun 30, 2023 | |
| W-2 Managing Employee | Jun 30, 2023 | ||
| Miranda Redish | W-2 Managing Employee | Sep 11, 2023 | |
| Amanda Attia | W-2 Managing Employee | Oct 22, 2025 | |
| BB-HH Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 100% |
| Blackbern HH Investments, LLC | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 51.94% |
| The Christopher Melley Irrevocable Trust Dated October 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 47.95% |
| Shannon Hill | W-2 Managing Employee | Oct 22, 2025 | |
| Matevosyan Inc | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 30.54% |
| Melley Home Health Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 47.95% |
| P3-Pe, LLC | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 11.48% |
| Providia Home Care Holdings LLC | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 100% |
| Operational/Managerial Control | Jun 30, 2023 | 100% | |
| BB-HH Platform, Inc. | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 100% |
| Christoph Peters | Corporate Officer | Jun 30, 2023 | |
| W-2 Managing Employee | Jun 30, 2023 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Preferred Care Home Health Services
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
BB-HH Holdings, LLC, BB-HH Platform, Inc., Blackbern HH Investments, LLC, Matevosyan Inc, Melley Home Health Holdings, LLC, P3-Pe, LLC, Providia Home Care Holdings LLC, The Christopher Melley Irrevocable Trust Dated October 30, 2020
-
dba Preferred Care Home Health Services
- Home Health Agency
- Bradenton, FL
- NPI 1932935459
BB-HH Holdings, LLC, BB-HH Platform, Inc., Blackbern HH Investments, LLC, Matevosyan Inc, Melley Home Health Holdings, LLC, P3-Pe, LLC, Providia Home Care Holdings LLC, The Christopher Melley Irrevocable Trust Dated October 30, 2020
-
dba Regency Care
- Skilled Nursing Facility
- Springfield, IL
- NPI 1053557009
Matevosyan Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Naples, FL
- NPI 1922353416
Affiliated clinicians 23
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Surgery of the Hand (Surgery) Physician
- Stuart, FL
- NPI 1225221047
Home health agency
-
- Cardiovascular Disease Physician
- Fort Pierce, FL
- NPI 1992782577
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1285419788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1020",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012204",
"telephone_number": "561-462-1100",
"fax_number": "561-462-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1020",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012204",
"telephone_number": "561-462-1100",
"fax_number": "561-462-1101"
}
],
"practiceLocations": [
{
"address_1": "1103 N Parrott Ave",
"address_purpose": "LOCATION",
"city": "Okeechobee",
"state": "FL",
"postal_code": "349722128",
"country_code": "US",
"telephone_number": "239-425-2670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "291 NW Peacock Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349862214",
"country_code": "US",
"telephone_number": "772-588-5500",
"fax_number": "772-588-5501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROVIDIA HOME CARE OF PALM BEACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MELLEY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-425-2670"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Preferred Care Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.