A Patient'S Choice Home Health LLC

Key facts

NPI: 1306479563
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: A PATIENT'S CHOICE HOME HEALTH LLC
Practice address: 1922 SE Port St. Lucie Blvd
Port St Lucie, FL 34952-5514
Phone: (772) 249-4527
Fax: (772) 264-8569
NPI assigned: Feb 17, 2020
Organization subpart: No

Authorized official

Name: Miss Andrea Rosemarie Davis
Title: Owner
Phone: (772) 626-4575

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Christine Rigg, HOMEMAKER COMPANION In Home Supportive Care Agency · Port St Lucie, FL · NPI 1922476407

NPD IN HOME SUPPORTIVE CARE

Medicare Care Compare: Home health agency

Listed as: A Patient'S Choice Home Health LLC CCN 687153
Ownership: -
Certified: Dec 6, 2021
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Home health agency certification: CCN 687153

Legal name: A PATIENT'S CHOICE HOME HEALTH LLC
Certification status: Active
Provider type (POS): Home health agency
Participating since: Dec 6, 2021
Last certification: Nov 18, 2021
Organization structure: LLC · Proprietary
Incorporated: Nov 21, 2019 in FL
Enrollment address: 1801 SE Hillmoor Dr
Ste C-203
Port St Lucie, FL 34952-7574

All disclosed owners & managing parties 3

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
George Hough Individual	Corporate Director Cfo Board Member	Nov 21, 2019	50%
George Hough Individual	W-2 Managing Employee Cfo, Board Member	Nov 21, 2019	50%
Margaret Stamp Individual	Corporate Director Board Member	Nov 21, 2019	50%
Margaret Stamp Individual	W-2 Managing Employee Board Memberr	Nov 21, 2019	50%
Virago Holdings LLC Organization · Palm City, FL LLC	5% Or Greater Direct Ownership Interest	Nov 21, 2019	100%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210303001023	FL	Part a Provider - Home Health Agency	3173939923	Practice locations: Port St Lucie, FL

National Provider Directory

Locations

1801 SE Hillmoor Dr
Ste C-203
Port St Lucie, FL 34952
Phone (772) 249-4527

1950 SE Port St Lucie Blvd
Ste 212
Port St Lucie, FL 34952
Phone (772) 446-4871

1922 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 579-0922

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes
In Home Supportive Care Agency	253Z00000X

Addresses

Primary practice location

1922 SE Port St. Lucie Blvd
Port St Lucie, FL 34952-5514

Mailing address

1922 SE Port St. Lucie Blvd
Port St Lucie, FL 34952-5514
Phone (772) 249-4527

Other providers in Port St Lucie, FL

All providers in Port St Lucie, 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 Jul 1, 2021. 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.

Verify at the official NPI Registry.