NPIMap

Organization Active NPI

Florida Homecare Specialists Incorporated

  • Home Health Agency
  • Lady Lake, FL
National Provider Identifier
1609924265
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLORIDA HOMECARE SPECIALISTS INCORPORATED
Practice address
130 N Old Dixie Hwy
Lady Lake, FL 32159-4347
Phone
(352) 753-2206
Fax
(352) 350-2207
NPI assigned
Jan 8, 2007
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Elmer Y Arcenal
Title
Ceo
Phone
(352) 753-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

130 N Old Dixie Hwy
Lady Lake, FL 32159-4347

Mailing address

130 N Old Dixie Hwy
Lady Lake, FL 32159-4347
Phone (352) 753-2206

Other practice location 1

150 SE 17th St Ste 301
Ocala, FL 34471-7101
Phone (352) 509-3045

Other practice location 2

150 SE 17th St Ste 301
Ocala, FL 34471-7101
Phone (352) 753-2006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000047 FL Part A Provider - Home Health Agency 7113018615 Practice locations: Lady Lake, FL; Ocala, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609924265. Details of each certification follow.

Home health agency certification: CCN 109071

Legal name
FLORIDA HOMECARE SPECIALISTS INCORPORATED
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2008
Last certification
Feb 14, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
130 N Old Dixie Hwy
Lady Lake, FL 32159-4347

Care Compare: Home health agency

Medicare Care Compare
Listed as
Florida Homecare Specialists IncCCN 109071 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 15, 2008
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
10D1057796Florida Homecare Specialists130 N Old Dixie Hwy, Lady Lake, FL 32159Certificate of waiverAug 21, 2026
10D2076453Florida Homecare Specialists Inc150 SE 17TH St #301, Ocala, FL 34471Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

130 N Old Dixie Hwy
Lady Lake, FL 32159
Phone (352) 753-2206

136 N Old Dixie Hwy
Lady Lake, FL 32159
Phone (352) 753-2206

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 4

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

NameRoleSinceShare
Christine Spicochi Individual 5% Or Greater Direct Ownership Interest Jan 15, 2017
Billy Redula Individual 5% Or Greater Direct Ownership Interest Jan 15, 2017 10%
Johnell Bagaipo Individual 5% Or Greater Direct Ownership Interest Apr 3, 2012
Elmer Arcenal Individual 5% Or Greater Direct Ownership Interest Feb 5, 2007 80%
Corporate OfficerCeo Dec 8, 2008
Corporate Director Feb 5, 2007
W-2 Managing Employee Feb 5, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1609924265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N OLD DIXIE HWY",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594347",
            "telephone_number": "352-753-2206",
            "fax_number": "352-350-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N OLD DIXIE HWY",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594347",
            "telephone_number": "352-753-2206",
            "fax_number": "352-350-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 SE 17th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717101",
            "country_code": "US",
            "telephone_number": "352-509-3045",
            "fax_number": "352-509-3045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 SE 17th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717101",
            "country_code": "US",
            "telephone_number": "352-753-2006",
            "fax_number": "352-509-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA HOMECARE SPECIALISTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "ARCENAL",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-753-2206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.