NPIMap

Organization Active NPI

Therapycare Home Health LLC

  • Home Health Agency
  • Jacksonville Beach, FL
National Provider Identifier
1467727057
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THERAPYCARE HOME HEALTH LLC
Practice address
1361 13TH Ave S Ste 170
Jacksonville Beach, FL 32250-3235
Phone
(904) 246-3436
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Ms. Anya Johnson
Title
President
Phone
(904) 246-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1361 13TH Ave S Ste 170
Jacksonville Beach, FL 32250-3235

Mailing address

1361 13TH Ave S Ste 170
Jacksonville Beach, FL 32250-3235
Phone (904) 246-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130208000336 FL Part A Provider - Home Health Agency 8224282785 Practice locations: Jacksonville Beach, FL
O20200706001732 FL Part B Supplier - Independent Clinical Laboratory 8224282785 Practice locations: Neptune Beach, FL

Home health agency certification: CCN 683110

Legal name
THERAPYCARE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 15, 2013
Last certification
Jun 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 13, 2012 in FL
Enrollment address
1361 13TH Ave S
Ste 170
Jacksonville Beach, FL 32250-3235

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
Therapycare Home Health LLCCCN 683110 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 15, 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
Therapycare Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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
Evgeny Chernyak Individual 5% Or Greater Direct Ownership Interest Mar 13, 2012 50%
Corporate OfficerVice President Treasurer Mar 13, 2012 33.33%
Corporate DirectorVice President Treasurer Mar 13, 2012 50%
Anya Johnson Individual 5% Or Greater Direct Ownership Interest Mar 13, 2012 50%
Corporate OfficerAdministrator, Board President Mar 13, 2012 33.33%
Corporate DirectorAdministrator Board President an Mar 13, 2012 50%
W-2 Managing EmployeeAdministrator Board President SE Mar 13, 2012 50%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1467727057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 170",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-246-3436",
            "fax_number": "904-677-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 170",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-246-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-246-3436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.