Organization Active NPI

Florida Medical Staffing Home Care LLC

Doing business as FMS Home Care

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1427876903
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA MEDICAL STAFFING HOME CARE LLC
Doing business as
FMS Home Care
Practice address
1800 Pembrook Dr Ste 363
Orlando, FL 32810-6928
Phone
(321) 437-5894
NPI assigned
Oct 2, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Jackenson Clerisier
Title
Owner
Phone
(321) 437-5894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1800 Pembrook Dr Ste 363
Orlando, FL 32810-6928

Mailing address

1800 Pembrook Dr Ste 363
Orlando, FL 32810-6928

Other names 1

  • FMS 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
O20250826000192 FL Part A Provider - Home Health Agency 0840790689 Practice locations: Orlando, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427876903. Details of each certification follow.

Home health agency certification: CCN 687437

Legal name
FLORIDA MEDICAL STAFFING HOME CARE LLC
Doing business as
FMS HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 19, 2026
Last certification
Mar 5, 2026
Organization structure
LLCProprietary
Enrollment address
1800 Pembrook Dr
Ste 300
Orlando, FL 32810-6378

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
10D2325859Florida Medical Staffing Home Care LLC1800 Pembrook Dr Ste 300, Office 363, Orlando, FL 32810Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

1800 Pembrook Dr
Ste 363
Orlando, FL 32810
Phone (321) 437-5894

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sherly Jospeh Individual 5% Or Greater Direct Ownership InterestOwner, Vice President, Administr Sep 5, 2024 50%
Corporate DirectorVice President Sep 5, 2024 50%
W-2 Managing EmployeeAd; Sep 5, 2024 100%
Jackenson Clerisler Individual 5% Or Greater Direct Ownership InterestOwner, President Sep 5, 2024 50%
Corporate OfficerPresident Sep 5, 2024 50%
Corporate DirectorPresident Sep 5, 2024 50%

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1427876903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 363",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 363",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106928",
            "telephone_number": "321-437-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MEDICAL STAFFING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "CLERISIER",
        "authorized_official_first_name": "JACKENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-437-5894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMS Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.