Organization Active NPI

Senior Living Specialties, LLC

Doing business as Concierge Home Care

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1508818022
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA 299991368 Issued in FL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
111118700MedicaidFL
299991368OtherFLAHCA
10D0983899OtherFLCLIA

Other names 1

  • Concierge 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
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
LLCProprietary
Incorporated
Oct 20, 1998 in FL
Enrollment address
13923 Icot Blvd
Ste 815
Clearwater, FL 33760-3767
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concierge Home CareCCN 107618 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 2, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
10D0983899Senior Living Specialties, LLC13923 Icot Blvd - Ste 815, Clearwater, FL 33760Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

NameRoleSinceShare
Homecare Partners Holdings, LLC Organization, Jacksonville, FL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 99.21%
Waud Capital Partners Fif IV, L.P. Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Waud Homecare Partners Holdings, LLC Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 65.54%
Kathleen Lovelace Individual W-2 Managing EmployeeAd;Alternate Don Aug 16, 2021
Debra Arazie-Edmunds Individual W-2 Managing EmployeeDon & Alt Admin Jan 29, 2024
Jeffrey L Fisher Individual Corporate OfficerPresident Aug 16, 2021
New York State Teachers' Retirement System Organization, Albany, NY Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 6.16%
Reeve B. Waud Declaration of Trust DTD 02/21/96 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Apr 24, 2026 5.86%
Homecare Partners Management, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 16, 2021 100%
Homecare Partners Acquisition Co., LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 16, 2021 100%
Robert Young Individual Corporate OfficerChief Admin, Officer & Secretary Aug 16, 2021
Operational/Managerial ControlChief Admin, Officer & Secretary Aug 16, 2021
Waud Capital Affiliates IV, LLC Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 12.14%
Homecare Partners Intermediate Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 16, 2021 100%
WCP Fif IV (Homecare Partners), L.P. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 23.69%
David Christopher Rucker Individual Corporate OfficerChief Executive Officer Aug 16, 2021
Joseph Malone Individual W-2 Managing EmployeeCfo Jun 1, 2025
Operational/Managerial ControlCfo Jun 1, 2025
Waud Capital Partners QP IV, L.P. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 50.61%
WCP Fif IV Homecare Partners Blocker, Inc. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Jacksonville Owners Holdings, Inc. Organization, Jacksonville, FL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2021 6.72%
Crescent Agency Services, LLC Organization, Boston, MA LLC, For-profit 5% Or Greater Security Interest Aug 16, 2021 100%
Concierge Florida Acquisitions 3, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 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.

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 44

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

View all 44

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

Sources for this page

Verify at the official NPI Registry.