NPIMap

Organization Active NPI

Florida Homecare Specialists Minority Corp

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1518424910
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Practice address
9009 4TH St N
St Petersburg, FL 33702-3127
Phone
(352) 857-6410
NPI assigned
Feb 22, 2019
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Elmer Arcenal
Title
Ceo
Phone
(352) 857-6410

Specialties & licenses 1

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

Addresses

Primary practice location

9009 4TH St N
St Petersburg, FL 33702-3127

Mailing address

9009 4TH St N
St Petersburg, FL 33702-3127
Phone (352) 857-6410

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://floridahomecarespecialists.devero.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200604003111 FL Part A Provider - Home Health Agency 2264853969 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518424910. Details of each certification follow.

Home health agency certification: CCN 687080

Legal name
FLORIDA HOMECARE SPECIALISTS MINORITY CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 14, 2020
Last certification
Aug 14, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 11, 2019 in FL
Enrollment address
9009 4TH St N
St Petersburg, FL 33702-3127

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Florida Homecare Specialists Minority CorpCCN 687080 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 14, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
10D2204659Florida Homecare Specialists Minority Corp9009 4TH St North, Saint Petersburg, FL 33702Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Florida Homecare Specialists Minority Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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 3

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

NameRoleSinceShare
Arl Corp Organization, St Petersburg, FL Corporation 5% Or Greater Direct Ownership Interest Apr 2, 2020 100%
Jan Lomanta Roflo Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 50%
General Partnership Interest Jul 1, 2025 50%
W-2 Managing EmployeeAd; Jul 1, 2025 50%
Elmer Arcenal Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 50%
General Partnership Interest Jul 1, 2025 50%
Operational/Managerial Control Jul 1, 2025 50%

Facilities with the same owner 2

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

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1518424910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023127",
            "telephone_number": "352-857-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023127",
            "telephone_number": "352-857-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOMECARE SPECIALISTS MINORITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "ARCENAL",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-857-6410"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://floridahomecarespecialists.devero.com",
            "affiliation": "N",
            "endpointDescription": "CLOUD BASED",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 1st Ave N. Mezzanine Ste 215",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337051567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.