NPIMap

Organization Active NPI

Halifax Hospice Inc

Doing business as Hospice of Volusia Flagler

  • Community Based Hospice Care Agency
  • Port Orange, FL
National Provider Identifier
1376510065
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5034096 Issued in FL
Legal business name
HALIFAX HOSPICE INC
Doing business as
Hospice of Volusia Flagler
Practice address
3800 Woodbriar TRL
Port Orange, FL 32129-9626
Phone
(386) 425-4701
Fax
(386) 425-7864
NPI assigned
Mar 2, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Ann Gatian, RN
Title
Executive Director
Phone
(386) 425-4704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5034096 FL Primary

Addresses

Primary practice location

3800 Woodbriar TRL
Port Orange, FL 32129-9626

Mailing address

3800 Woodbriar TRL
Port Orange, FL 32129-9626
Phone (386) 425-4701

Other names 1

  • Hospice of Volusia Flagler Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060501000662 FL Part A Provider - Hospice 4284644543 Practice locations: Orange City, FL; Winter Park, FL; Port Orange, FL; Ormond Beach, FL; Edgewater, FL; Deland, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376510065. Details of each certification follow.

Hospice certification: CCN 101522

Legal name
HALIFAX HOSPICE INC
Doing business as
HALIFAX HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 7, 1986
Last certification
Apr 22, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 21, 1984 in FL
Enrollment address
3800 Woodbriar TRL
Port Orange, FL 32129-9626

Care Compare: Hospice

Medicare Care Compare
Listed as
Halifax Health HospiceCCN 101522 · All quality measures
Ownership
Non-Profit
Certified
Jan 7, 1986
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
10D0681458Halifax Health Hospice3800 Woodbriar Trail, Port Orange, FL 32129Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1250 S Spring Garden Ave
Ste 5
Deland, FL 32720

4140 S Ridgewood Ave
Edgewater, FL 32141
Phone (386) 425-8950

1625 Veterans Memorial Pkwy
Orange City, FL 32763
Phone (386) 851-7600

235 Booth Rd
Ormond Beach, FL 32174
Phone (386) 425-3150

110 Flagler Plaza Dr
Palm Coast, FL 32137
Phone (386) 439-0333

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Harold Goodemonte Individual Corporate OfficerSecretary Sep 10, 2021
Glenn Ritchey Individual Corporate OfficerVice Chairman Dec 23, 2020
Jeffrey Feasel Individual Corporate OfficerCeo May 10, 2013
Corporate DirectorCeo May 10, 2013
W-2 Managing EmployeeCeo May 10, 2013
Operational/Managerial ControlCeo May 10, 2013
Eric Peburn Individual Corporate OfficerCfo Oct 1, 2007
Corporate DirectorCfo Oct 1, 2007
W-2 Managing EmployeeCfo Oct 1, 2007
Operational/Managerial ControlCfo Oct 1, 2007
Tom McCall Individual Corporate OfficerTreasurer Sep 10, 2021
Alan Florez Individual Corporate OfficerAssistant Treasure Dec 23, 2020
Halifax Hospital Medical Center Organization, Daytona Beach, FL Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 1987 5%
Operational/Managerial Control Jan 1, 1979
Michael Munier Individual Corporate OfficerQuality Oversight Dec 23, 2020
Audrey Butler Individual Corporate OfficerMember Sep 2, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

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 61

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

View all 61

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1376510065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODBRIAR TRL",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299626",
            "telephone_number": "386-425-4701",
            "fax_number": "386-425-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WOODBRIAR TRL",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299626",
            "telephone_number": "386-425-4701",
            "fax_number": "386-425-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GATIAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-425-4704",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5034096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Volusia Flagler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.