Active NPI
Memorial Home Health Services, LLC
- Home Health Agency
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MEMORIAL HOME HEALTH SERVICES, LLC
- Practice address
- 7029 Taft St
Hollywood, FL 33024-3864 - Phone
- (954) 276-8300
- Fax
- (954) 981-0457
- NPI assigned
- Jun 15, 2021
- Last updated
- Jun 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Kirschman, J.D.
- Title
- VP Legal Affairs
- Phone
- (937) 299-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
7029 Taft St
Hollywood, FL 33024-3864
Mailing address
1050 Forrer Blvd
Kettering, OH 45420-3640
Phone (937) 299-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220705002950 | FL | Part A Provider - Home Health Agency | 0244610491 | Practice locations: Hollywood, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386212546. Details of each certification follow.
Home health agency certification: CCN 107444
- Legal name
- MEMORIAL HOME HEALTH SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 19, 1992
- Last certification
- Feb 5, 2020
- Ownership / control type
- Non-Profit
- Organization structure
- LLC
- Incorporated
- May 12, 2021 in FL
- Enrollment address
- 300 S Park Rd
Ste 210
Hollywood, FL 33021-8353
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Memorial Home Health Services
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Oct 19, 1992
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2233832 | Memorial Home Health Services | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie Becena | W-2 Managing Employee | Sep 1, 2021 | |
| Alternate Solutions Holdings Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 27.5% |
| Ashn Midco LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 51% |
| Debbie Kirschman | Corporate Director | Sep 1, 2021 | |
| Other | Sep 1, 2021 | ||
| Florida Community Health Network Corp | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 49% |
| Atlantic Coast Holdings Inc | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 49% |
| Alternate Solutions Health Network LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 51% |
| General Atlantic (As) Collections LP | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 19.4% |
| Ashn Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 51% |
| Ach HH Holdings, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2021 | 100% |
| Memorial Foundation | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 49% |
| The Warren D. Ganzsarto Amended Revocable Living Trust | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 25.73% |
| Alternate Solutions Healthcare Southeast Florida, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2021 | 51% |
Facilities with the same owner 21
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba AccentCare Hospice & Palliative Care of Broward County
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
Atlantic Coast Holdings Inc
-
dba Adena Home Health
- Home Health Agency
- Chillicothe, OH
- NPI 1700805538
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
dba Adena Hospice
- Community Based Hospice Care Agency
- Chillicothe, OH
- NPI 1417130170
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP
-
- Home Health Agency
- Mason, OH
- NPI 1679765747
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Fairview Park, OH
- NPI 1316139488
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Mason, OH
- NPI 1295987774
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Mason, OH
- NPI 1447276142
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Hilliard, OH
- NPI 1770775843
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
dba Baptist Health Home Care
- Home Health Agency
- Paducah, KY
- NPI 1780498030
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
-
dba Baptist Health Home Care
- Home Health Agency
- Lexington, KY
- NPI 1881408128
Alternate Solutions Health Network LLC, Alternate Solutions Holdings Inc, Ashn Holdings LLC, Ashn Midco LLC, General Atlantic (As) Collections LP, The Warren D. Ganzsarto Amended Revocable Living Trust
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2021 | Change of Ownership | Memorial Home Health Services |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
Acquired from, 2021-09-01
Practitioners & affiliated clinicians
Affiliated clinicians 20
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1184672123
Home health agency
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1376535484
Home health agency
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1821275462
Home health agency
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1396184289
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623715200000",
"number": "1386212546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FORRER BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454203640",
"telephone_number": "937-299-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7029 TAFT ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330243864",
"telephone_number": "954-276-8300",
"fax_number": "954-981-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "KIRSCHMAN",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "VP LEGAL AFFAIRS",
"authorized_official_telephone_number": "937-299-1111",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
- Melvin M. Grossman, M.D.
- Karla Membribes
- Memorial Division of Pediatric Otolaryngology
- Memorial Healthcare
- Memorial Healthcare System
- Memorial Hospitalist Inc
- Memorial Medical Group of South Florida, LLC (Memorial Mental Health Of South Florida)
- Memorial Regional Hospital
- Denise E. Menard-Lunt, ARNP
- Sina Menashehoff, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.