Active NPI
Senior Living Specialties, LLC
Doing business as Concierge Home Care
- Home Health Agency
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA 299991368
- Legal business name
- SENIOR LIVING SPECIALTIES, LLC
- Doing business as
- Concierge Home Care
- Practice address
- 13923 Icot Blvd Ste 815
Clearwater, FL 33760-3767 - Phone
- (727) 328-8308
- Fax
- (727) 328-2071
- NPI assigned
- May 16, 2006
- Last updated
- Dec 27, 2023
- 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
- Mr. Robert Gregory Young
- Title
- Secretary & Cao
- Phone
- (904) 733-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA 299991368 | FL | Primary |
Addresses
Primary practice location
13923 Icot Blvd Ste 815
Clearwater, FL 33760-3767
Mailing address
4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone (904) 733-1003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111118700 | Medicaid | FL | |
| 299991368 | Other | FL | AHCA |
| 10D0983899 | Other | FL | CLIA |
Other names 1
- Concierge Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401001065 | FL | Part A Provider - Home Health Agency | 1557353240 | Practice locations: Clearwater, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508818022. Details of each certification follow.
Home health agency certification: CCN 107618
- Legal name
- SENIOR LIVING SPECIALTIES, LLC
- Doing business as
- CONCIERGE HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 2, 2000
- Last certification
- Feb 8, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Oct 20, 1998 in FL
- Enrollment address
- 13923 Icot Blvd
Ste 815
Clearwater, FL 33760-3767
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Concierge Home Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 2, 2000
- 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 |
|---|---|---|---|
| 10D0983899 | Senior Living Specialties, LLC | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Homecare Partners Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 99.21% |
| Waud Capital Partners Fif IV, L.P. | 5% Or Greater Indirect Ownership Interest | Apr 24, 2026 | 23.45% |
| Waud Homecare Partners Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 65.54% |
| Kathleen Lovelace | W-2 Managing Employee | Aug 16, 2021 | |
| Debra Arazie-Edmunds | W-2 Managing Employee | Jan 29, 2024 | |
| Jeffrey L Fisher | Corporate Officer | Aug 16, 2021 | |
| New York State Teachers' Retirement System | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 6.16% |
| Reeve B. Waud Declaration of Trust DTD 02/21/96 | 5% Or Greater Indirect Ownership Interest | Apr 24, 2026 | 5.86% |
| Homecare Partners Management, LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 100% |
| Homecare Partners Acquisition Co., LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 100% |
| Robert Young | Corporate Officer | Aug 16, 2021 | |
| Operational/Managerial Control | Aug 16, 2021 | ||
| Waud Capital Affiliates IV, LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 12.14% |
| Homecare Partners Intermediate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 100% |
| WCP Fif IV (Homecare Partners), L.P. | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 23.69% |
| David Christopher Rucker | Corporate Officer | Aug 16, 2021 | |
| Joseph Malone | W-2 Managing Employee | Jun 1, 2025 | |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Waud Capital Partners QP IV, L.P. | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 50.61% |
| WCP Fif IV Homecare Partners Blocker, Inc. | 5% Or Greater Indirect Ownership Interest | Apr 24, 2026 | 23.45% |
| Jacksonville Owners Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Aug 16, 2021 | 6.72% |
| Crescent Agency Services, LLC | 5% Or Greater Security Interest | Aug 16, 2021 | 100% |
| Concierge Florida Acquisitions 3, LLC | 5% Or Greater Direct Ownership Interest | Aug 16, 2021 | 100% |
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Concierge Home Care
- Home Health Agency
- Jacksonville, FL
- NPI 1891932463
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Melbourne, FL
- NPI 1184183022
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Waud Capital Af
-
dba Concierge Home Care
- Home Health Agency
- West Palm Beach, FL
- NPI 1598900060
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1326094459
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Panama City, FL
- NPI 1841335908
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Gainesville, FL
- NPI 1629670310
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
dba Concierge Home Care
- Home Health Agency
- Ocala, FL
- NPI 1285236968
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1003077066
Concierge Florida Acquisitions 3, LLC, Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teach
-
dba Concierge Home Care
- Home Health Agency
- Jacksonville, FL
- NPI 1235737925
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Lake City, FL
- NPI 1639777345
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Heathrow, FL
- NPI 1487252185
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
-
dba Concierge Home Care
- Home Health Agency
- Port Orange, FL
- NPI 1801494505
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., New York State Teachers' Retirement System, Reeve B. Waud D
Practitioners & affiliated clinicians
Affiliated clinicians 44
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- St Petersburg, FL
- NPI 1184162489
Home health agency
-
- Internal Medicine Physician
- Dunedin, FL
- NPI 1588614952
Home health agency
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1639686363
Home health agency
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Palm Harbor, FL
- NPI 1962072991
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- Clearwater, FL
- NPI 1285831198
Home health agency
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1417336884
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1508818022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 SALISBURY RD STE 110",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560957",
"telephone_number": "904-733-1003",
"fax_number": "904-448-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13923 ICOT BLVD STE 815",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603767",
"telephone_number": "727-328-8308",
"fax_number": "727-328-2071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIVING SPECIALTIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "SECRETARY & CAO",
"authorized_official_telephone_number": "904-733-1003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HHA 299991368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111118700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "299991368",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "10D0983899",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Concierge Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Concierge Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clearwater, FL
- Jennifer Melaina Self, PHD, PMHNP-BC, LMHC
- Dana L Selfridge, TCM SUPERVISOR
- Linda Ann Selker, R.N.
- Cara Semelsberger, PA-C
- Senior Care of Clearwater LLC (Seniors Helping Seniors)
- Senior Nannies Home Care Services, LLC
- Seniors Comfort Care
- Sensational Students Occupational Therapy LLC
- Zachary Serbu, PA-C
- Roman Sereda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.