Organization Active NPI

CR & Ra Investments LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1457467136
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CR & RA INVESTMENTS LLC
Practice address
9250 Baymeadows Rd Ste 450
Jacksonville, FL 32256-1896
Phone
(904) 730-9580
Fax
(904) 730-9714
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Lovell
Title
President
Phone
(480) 618-5760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary
Nursing Care Agency 251J00000X FL

Addresses

Primary practice location

9250 Baymeadows Rd Ste 450
Jacksonville, FL 32256-1896

Mailing address

9250 Baymeadows Rd Ste 450
Jacksonville, FL 32256-1896
Phone (904) 730-9580

Other identifiers 12

IdentifierTypeStateIssuer
651072800MedicaidFL
312369OtherAETNA
651072879MedicaidFL
7060762OtherAETNA
H21CGA7OtherBCBS
6510728098MedicaidFL
651072896MedicaidFL
651072898MedicaidFL
H2IOtherGABLUE CROSS BLUE SHEILD
1214OtherCARECENTRIX
312369OtherAVMED
651072801MedicaidFL

Other names 1

  • Team Select 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
O20070531000486 FL Part A Provider - Home Health Agency 2668570532 Practice locations: Jacksonville, FL

Home health agency certification: CCN 108415

Legal name
CR & RA INVESTMENTS, LLC
Doing business as
TEAM SELECT HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2007
Last certification
Oct 23, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 25, 2004 in FL
Enrollment address
9250 Baymeadows Rd
Ste 450
Jacksonville, FL 32256-1896

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Team Select Home CareCCN 108415
Ownership
Proprietary
Certified
May 11, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D2006240Team Select Home Care9250 Baymeadows Rd Ste 450, Jacksonville, FL 32256Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
CR Ra Investments LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Michael Lovell Individual 5% Or Greater Indirect Ownership InterestVice President Mar 19, 2021 12.35%
Corporate OfficerVice President Mar 19, 2021
Team Select Holdings LLC Organization, Phoenix, AZ LLC 5% Or Greater Direct Ownership Interest Mar 19, 2021 100%
TS Investors LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest Mar 19, 2021 100%
Susan Valocchi Individual Corporate OfficerSecretary/ Compliance Officer May 5, 2023
CSC TS Parent LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
CSC TS Holdings LP Organization, Phoenix, AZ 5% Or Greater Indirect Ownership Interest May 4, 2023 66.79%
CSC TS Management LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023 11.49%
TS TCM Investors, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Mar 19, 2021 7.24%
TS Holdco Parent LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest Mar 19, 2021 100%
Frederick Johnson Individual Corporate OfficerPresident May 4, 2023
Mark Kuleck Individual Corporate OfficerChief Financial Officer Apr 15, 2025
CSC TS Acquisition LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
JCML Holdings LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest Mar 19, 2021 14.48%
CSC TS Intermediate LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 14, 2023 100%
Corey Beiswanger Individual W-2 Managing EmployeeAd; Jan 16, 2025

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Team Select Home CareMaitland, FL, CCN 687172 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 14, 2014
Team Select Home CareDelray Beach, FL, CCN 687050 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 2, 2023

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457467136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD STE 450",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561896",
            "telephone_number": "904-730-9580",
            "fax_number": "904-730-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD STE 450",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561896",
            "telephone_number": "904-730-9580",
            "fax_number": "904-730-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR & RA INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-618-5760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651072800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "312369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651072879",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7060762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H21CGA7",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6510728098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651072896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651072898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "H2I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARECENTRIX",
            "identifier": "1214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "312369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651072801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.