Organization Active NPI

Etairos Health, Inc

  • In Home Supportive Care Agency
  • Palm Harbor, FL
National Provider Identifier
1386110419
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ETAIROS HEALTH, INC
Practice address
2708 Alt 19 Ste 501
Palm Harbor, FL 34683-2644
Phone
(727) 723-7532
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Scott George
Title
Vice President of Operations
Phone
(770) 851-4538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2708 Alt 19 Ste 501
Palm Harbor, FL 34683-2644

Mailing address

2708 Alt 19 Ste 501
Palm Harbor, FL 34683-2644
Phone (727) 723-7532

Other names 1

  • Utopia Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181221001700 FL Part A Provider - Home Health Agency 2961747795 Practice locations: Palm Harbor, FL

Home health agency certification: CCN 108448

Legal name
ETAIROS HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 2007
Last certification
Jan 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 17, 2017 in FL
Enrollment address
2708 Alt 19
Ste 501
Palm Harbor, FL 34683-2644

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Etairos Health IncCCN 108448
Ownership
Proprietary
Certified
Aug 21, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Etairos Health Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

13787 Belcher Rd S
Ste 230
Largo, FL 33771
Phone (727) 532-8400

2708 Alt 19
Ste 501
Palm Harbor, FL 34683
Phone (727) 723-7532

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Jeffrey Freedman Individual 5% Or Greater Direct Ownership Interest Oct 1, 2018 27%
Corporate OfficerCeo Oct 1, 2017 100%
Petra Growth Fund III LP Organization, Atltanta, GA Corporation 5% Or Greater Direct Ownership Interest Jul 12, 2007 67%
Brett Rager Individual Corporate OfficerVP, Billin & Reimbursement Oct 1, 2018 100%
W-2 Managing Employee Oct 1, 2018
Richard Butler Individual Corporate OfficerCoo May 7, 2018 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Etairos Care at Home IncWest Palm Beach, FL, CCN 107625 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the buyer Utopia Home Care IncCCN 108448, FL, NPI 1164460820

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1386110419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 ALT 19 STE 501",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832644",
            "telephone_number": "727-723-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 ALT 19 STE 501",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832644",
            "telephone_number": "727-723-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETAIROS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "770-851-4538"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utopia Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.