Organization Active NPI

Providia Home Care of Palm Beach LLC

Doing business as Preferred Care Home Health Services

  • Home Health Agency
  • West Palm Beach, FL
National Provider Identifier
1285419788
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ServicesCCN 687340 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Sep 13, 2024
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
10D2291402Providia Home Care of Palm Beach LLC1645 Palm Beach Lakes Blvd Suite 1020, West Palm Beach, FL 33401Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Christopher Melley Individual Corporate Officer Jun 30, 2023
W-2 Managing Employee Jun 30, 2023
Miranda Redish Individual W-2 Managing Employee Sep 11, 2023
Amanda Attia Individual W-2 Managing Employee Oct 22, 2025
BB-HH Holdings, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Blackbern HH Investments, LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2023 51.94%
The Christopher Melley Irrevocable Trust Dated October 30, 2020 Organization, Naples, FL 5% Or Greater Indirect Ownership Interest Jun 30, 2023 47.95%
Shannon Hill Individual W-2 Managing Employee Oct 22, 2025
Matevosyan Inc Organization, Senningerberg 5% Or Greater Indirect Ownership Interest Jun 30, 2023 30.54%
Melley Home Health Holdings, LLC Organization, Naples, FL Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2023 47.95%
P3-Pe, LLC Organization, Seattle, WA LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2023 11.48%
Providia Home Care Holdings LLC Organization, Fort Myers, FL LLC, Holding company 5% Or Greater Direct Ownership Interest Jun 30, 2023 100%
Operational/Managerial Control Jun 30, 2023 100%
BB-HH Platform, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Christoph Peters Individual 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.

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.

Affiliated clinicians 23

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

View all 23

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

Verify at the official NPI Registry.