NPIMap

Organization Active NPI

Alivia Care Solutions, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1386908473
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALIVIA CARE SOLUTIONS, INC.
Practice address
5450 Ramona Blvd
Jacksonville, FL 32205-4750
Phone
(904) 361-3902
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Susan Ponder-Stansel
Title
President & Ceo
Phone
(904) 268-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5450 Ramona Blvd
Jacksonville, FL 32205-4750

Mailing address

4266 Sunbeam Road
Attn: Bonnie Overbey, Director of Legal & Regulatory Co
Jacksonville, FL 32257
Phone (904) 407-5050

Other names 2

  • Alivia Home Health Doing business as
  • allegiant 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
O20240109003893 FL Part A Provider - Home Health Agency 0648688044 Practice locations: Jacksonville, FL

Home health agency certification: CCN 103183

Legal name
ALIVIA CARE SOLUTIONS INC
Doing business as
ALIVIA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 22, 2013
Last certification
Jan 18, 2019
Ownership / control type
Proprietary
Most recent change of ownership
Jul 1, 2023
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 2020 in FL
Enrollment address
5450 Ramona Blvd
Jacksonville, FL 32205-4750

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
Alivia Home HealthCCN 103183
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 22, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Alivia Supportive Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5450 Ramona Blvd
Jacksonville, FL 32205
Phone (904) 268-5200

724 College St
Ste 101
Jacksonville, FL 32204
Phone (904) 361-3902

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Alivia Care Inc Organization, Jacksonville, FL Corporation 5% Or Greater Direct Ownership Interest Aug 24, 2020 100%
Wildrick Kenny Stevenson Individual Corporate OfficerSecretary of Alivia Care Solutio Aug 24, 2020
Susan Ponder Stansel Individual Corporate OfficerPresident and Ceo of Alivia Care Aug 24, 2020
W-2 Managing Employee Jul 1, 2023
Murray Marsh Individual Corporate Officer Jun 1, 2025
Phillip Ward Individual Corporate OfficerChief Operating Officer of Alivi Oct 1, 2022

Facilities with the same owner 2

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

Change-of-ownership history 2

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the buyer Allegiant Home CareCCN 103183, FL, NPI 1386908473
Jul 1, 2023 Change of OwnershipThis provider was the seller Alivia Home HealthCCN 103183, FL, NPI 1386908473

Practitioners & affiliated clinicians

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1386908473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 SUNBEAM ROAD",
            "address_2": "ATTN: BONNIE OVERBEY, DIRECTOR OF LEGAL & REGULATORY CO",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-407-5050",
            "fax_number": "904-407-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 RAMONA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054750",
            "telephone_number": "904-361-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVIA CARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "PONDER-STANSEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "904-268-5200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alivia Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "allegiant Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "allegiant Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.