Brevard Hma Home Health, LLC
Organization Active NPI Home Health Agency · Viera, FL
NPI 1366409153 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1366409153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA20201096 (FL)
- Legal business name
- BREVARD HMA HOME HEALTH, LLC
- Practice address
- 8060 Spyglass Hill Rd
Viera, FL 32940-7983 - Phone
- (321) 253-2200
- Fax
- (321) 255-8145
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Facilities with the same owner 111
Affiliated clinicians 17
-
Liviu Lucian Florescu, M.D.
-
Canaan Maffeo, APRN
-
Lyudmila Philips, MD
-
Rhu-Jade M Raguindin, M.D.
-
Desiree Rodriguez, ARNP-FNP
-
David S Shapiro, MD
-
Tamid Alberto Turbay, M.D.
-
Olena Vlasii, MD
Medicare Care Compare: Home health agency
- Listed as
- Wuesthoff Health System Home Health
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 22, 1985
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1063582 | Brevard Hma Home Health LLC | Certificate of waiver | Jan 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 107217
- Legal name
- BREVARD HMA HOME HEALTH, LLC
- Doing business as
- MEDERI CARETENDERS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 22, 1985
- Last certification
- Nov 11, 2015
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 8060 Spyglass Hill Rd
Viera, FL 32940-7983
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Judy Palino |
W-2 Managing Employee |
Feb 9, 2018 | |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer |
Apr 13, 2026 | |
| W-2 Managing Employee |
Apr 13, 2026 | ||
| Joni Babineaux |
Corporate Officer |
Apr 13, 2026 | |
| Afam Holding Co LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2019 | 100% |
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | |
| Joshua Lee Proffitt |
Corporate Officer |
Mar 1, 2019 | |
| Almost Family, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | |
| National Health Industries, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 80% |
| Afam Sub I LLC |
5% Or Greater Indirect Ownership Interest | Mar 1, 2019 | 20% |
| Amy Cormier |
Corporate Director |
May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170828003822 | FL | Part a Provider - Home Health Agency | 7315264942 | Practice locations: Viera, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA20201096 | FL | Yes |
Addresses
Primary practice location
8060 Spyglass Hill Rd
Viera, FL 32940-7983
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027241800 | Medicaid | FL |
Other names
- Mederi Caretenders
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 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.