Adventhealth Home Health and Hospice Inc
Organization Active NPI Home Health Agency · Kissimmee, FL
NPI 1295553485 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1295553485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADVENTHEALTH HOME HEALTH AND HOSPICE INC
- Practice address
- 306 W Bass St
Kissimmee, FL 34741-5001 - Phone
- (999) 999-9999
- NPI assigned
- Sep 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Mark Wheeler
- Title
- Cfo
- Phone
- (530) 545-1409
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 15
Facilities with the same owner 85
Affiliated clinicians 22
-
Lauren Marie Conroy, M.D.
-
Daniel G Goddard, MD
-
Lei Gong, MD
-
Amir F Guirguis, MD
-
Joseph Anthony Libby, MD, FACP, CMD
-
Alexander Lo, DO, MPH, MS
-
Jessica Lynn McGuire, APRN
-
Jacquelyn H Nystrom, M.D.
-
Laura Prevatt, PA-C
-
Yekatherine Rasmussen, M.D.
-
Joannie Silva Rodriguez, APRN
-
Analaura Vallejo, APRN
-
Alex J Vera Moran, APRN
-
Joel Marc Weinberger, D.O.
-
Brianna Wynne, MD
Medicare Care Compare: Home health agency
- Listed as
- Adventhealth Home Health
- Ownership
- -
- Certified
- Aug 8, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2317176 | Adventhealth Home Health | Certificate of waiver | Jan 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 687400
- Legal name
- ADVENTHEALTH HOME HEALTH AND HOSPICE INC
- Doing business as
- ADVENTHEALTH HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 8, 2025
- Last certification
- Jul 24, 2025
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 306 W Bass St
Ste 103
Kissimmee, FL 34741-5001
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lee Adler |
Corporate Director |
Jan 1, 2025 | |
| Tabitha Braddock |
W-2 Managing Employee |
Jan 1, 2025 | |
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Farlen Halikman |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Jeffrey Graff |
Corporate Officer |
Jan 1, 2025 | |
| Michael Saunders |
Corporate Officer |
Jan 1, 2025 | |
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Amanda Brady |
Corporate Officer |
Jan 1, 2025 | |
| Bryan Wright |
Contracted Managing Employee | Jan 1, 2025 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Operational/Managerial Control | Jan 1, 2025 | ||
| Sherrie Sitarik |
Corporate Director |
Jan 1, 2025 | |
| David L Huffman |
Corporate Officer |
Jan 1, 2025 | |
| Lynn Addiscott |
Corporate Officer |
Jan 1, 2025 | |
| Mark W.H. Wheeler |
Contracted Managing Employee | Jan 1, 2025 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Operational/Managerial Control | Jan 1, 2025 | ||
| Sandra L Randolph |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250630001063 | FL | Part a Provider - Home Health Agency | 9830133941 | Practice locations: Kissimmee, FL |
National Provider Directory
- Tax ID family
- Adventhealth Home Health and Hospice Inc
Locations
306 W Bass St
Kissimmee, FL 34741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
306 W Bass St
Kissimmee, FL 34741-5001
Mailing address
306 W Bass St
Kissimmee, FL 34741-5001
Other names
- ADVENTHEALTH HOME HEALTH
Other providers in Kissimmee, FL
- Advanced Pain Clinic PA
- Advanced Pain Clinic,PA
- Advanced Physical Medicine Inc
- Advantacare of Florida, LLC
- Advantage Medical Group LLC
- Adventist Health System /Sunbelt, Inc.
- Adventist Health System Sunbelt, Inc
- Adventist Health System-Sunbelt Inc Adventhealth Orlando
- Adventist Health System-Sunbelt, Inc
- Adventist Health System-Sunbelt, Inc
All providers in Kissimmee, 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 Jan 2, 2025. 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.