NPIMap

Organization Active NPI

Alborada Home Health of Tampa, Inc

Doing business as Southeast Homecare

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1376724146
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992939 Issued in FL
Legal business name
ALBORADA HOME HEALTH OF TAMPA, INC
Doing business as
Southeast Homecare
Practice address
11300 4TH St N Ste 250
St Petersburg, FL 33716-2918
Phone
(727) 546-8900
Fax
(727) 546-8940
NPI assigned
Nov 20, 2007
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Rosemary Santamaria
Title
Sr. Vice President
Phone
(786) 507-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992939 FL Primary

Addresses

Primary practice location

11300 4TH St N Ste 250
St Petersburg, FL 33716-2918

Mailing address

11300 4TH St N Ste 250
St Petersburg, FL 33716-2918
Phone (727) 546-8900

Other names 1

  • Southeast Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080908000052 FL Part A Provider - Home Health Agency 1153497631 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376724146. Details of each certification follow.

Home health agency certification: CCN 109338

Legal name
COMMUNITY THERAPY HOME CARE, INC.
Doing business as
SOUTHEAST HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 9, 2009
Last certification
Jun 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 31, 2007 in FL
Enrollment address
11300 4TH St N
Ste 250
St Petersburg, FL 33716-2918
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southeast HomecareCCN 109338 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 9, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D1093402Alborada Home Health of Tampa, Inc11300 4TH St N - Ste 250, Saint Petersburg, FL 33716Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alborada Home Health of Tampa Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5223 Park Blvd N
Ste 201
Pinellas Park, FL 33781

6251 Park Blvd N
Ste 8
Pinellas Park, FL 33781
Phone (727) 546-8900

11300 4th St N
Ste 250
St Petersburg, FL 33716
Phone (727) 546-8900

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
Ihcs Purchaser Corporation Organization, Providence, RI Corporation 5% Or Greater Indirect Ownership Interest May 5, 2020 100%
Ihcs/CMS Parent LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest May 5, 2020 100%
Donald K Klink Individual Corporate OfficerChief Financial Officer Aug 21, 2023
Karen Joblove Individual Corporate OfficerExecutive Vice President May 5, 2020
Nautic Partners VIII LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest May 5, 2020 42.2%
Ihcs Purchaser Holdco Inc Organization, Providence, RI Corporation 5% Or Greater Indirect Ownership Interest May 5, 2020 100%
Raul Rodriguez Individual 5% Or Greater Indirect Ownership Interest May 5, 2020 11%
Integrated Home Care Investors Inc. Organization, Miramar, FL Corporation 5% Or Greater Direct Ownership Interest May 5, 2020 100%
Operational/Managerial Control May 5, 2020 100%
Christopher Bradbury Individual Corporate OfficerCeo Aug 19, 2022
Cher'Rah Neumann Individual W-2 Managing EmployeeAdministrator Jul 20, 2020 50%
Rosemary Santamaria Individual W-2 Managing EmployeeSr. Vice President May 5, 2020 50%
Nautic Partners VIII a LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest May 5, 2020 16.4%
Linda J Mendez Individual Corporate OfficerCoo May 5, 2020

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1376724146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 4TH ST N STE 250",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162918",
            "telephone_number": "727-546-8900",
            "fax_number": "727-546-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 4TH ST N STE 250",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162918",
            "telephone_number": "727-546-8900",
            "fax_number": "727-546-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBORADA HOME HEALTH OF TAMPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "786-507-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.