NPIMap

Organization Active NPI

Sarasota Home Health Care Agency, LLC.

  • Home Health Agency
  • Sarasota, FL
National Provider Identifier
1609172675
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993801 Issued in FL
Legal business name
SARASOTA HOME HEALTH CARE AGENCY, LLC.
Practice address
8051 N Tamiami TRL
Unit #E3
Sarasota, FL 34243-2032
Phone
(941) 306-4347
Fax
(941) 866-7539
NPI assigned
Feb 8, 2011
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Victor Vishnevsky
Title
Owner/Manager
Phone
(941) 306-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993801 FL Primary

Addresses

Primary practice location

8051 N Tamiami TRL
Unit #E3
Sarasota, FL 34243-2032

Mailing address

8051 N Tamiami TRL
Unit #E3
Sarasota, FL 34243-2032
Phone (941) 306-4347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000238 FL Part A Provider - Home Health Agency 3072685999 Practice locations: Sarasota, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609172675. Details of each certification follow.

Home health agency certification: CCN 109793

Legal name
SARASOTA HOME HEALTH CARE AGENCY, LLC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 20, 2005
Last certification
Feb 27, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 24, 2007 in FL
Enrollment address
8051 North Tamiami Trail
Unit # E-3
Sarasota, FL 34243-2032

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
Sarasota Home Health Care Agency LLCCCN 109793 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 20, 2005
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
10D2020660Sarasota Home Health Care Agency LLC8051 N Tamiami TRL Unit E3, Sarasota, FL 34243Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sarasota Home Health Care Agency 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.

Locations

2700 S Tamiami Trl
Ste 14
Sarasota, FL 34239
Phone (941) 306-4347

2700 S Tamiami Trl
Ste 150
Sarasota, FL 34239
Phone (941) 306-4347

8051 N Tamiami Trl
Ste E3
Sarasota, FL 34243
Phone (941) 306-3496

8830 S Tamiami Trl
Ste 150
Sarasota, FL 34238
Phone (941) 306-4347

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Anna Velonskis Individual W-2 Managing Employee Feb 2, 2011
Victor Vishnevsky Individual 5% Or Greater Direct Ownership Interest Feb 2, 2011 33.3%
Meeris Velonskis Individual 5% Or Greater Direct Ownership Interest Feb 2, 2011 33.3%
Andrew Vishnevsky Individual 5% Or Greater Direct Ownership Interest Feb 2, 2011 33.4%

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1609172675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 N TAMIAMI TRL",
            "address_2": "UNIT #E3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432032",
            "telephone_number": "941-306-4347",
            "fax_number": "941-866-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 N TAMIAMI TRL",
            "address_2": "UNIT #E3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432032",
            "telephone_number": "941-306-4347",
            "fax_number": "941-866-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA HOME HEALTH CARE AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "VISHNEVSKY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "941-306-4347"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.