Active NPI
CHC of Gainesville, LLC
Doing business as Concierge Home Care
- Home Health Agency
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CHC OF GAINESVILLE, LLC
- Doing business as
- Concierge Home Care
- Practice address
- 4140 NW 37TH PL Ste B
Gainesville, FL 32606-8153 - Phone
- (352) 435-0101
- Fax
- (352) 435-0303
- NPI assigned
- Nov 9, 2020
- 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
- Phone
- (904) 733-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4140 NW 37TH PL Ste B
Gainesville, FL 32606-8153
Mailing address
4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone (904) 733-1003
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 |
|---|---|---|---|---|
| O20210401002399 | FL | Part A Provider - Home Health Agency | 2860809118 | Practice locations: Gainesville, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629670310. Details of each certification follow.
Home health agency certification: CCN 687196
- Legal name
- CHC OF GAINESVILLE, LLC
- Doing business as
- CONCIERGE HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 20, 2022
- Last certification
- Jun 22, 2022
- Organization structure
- LLC
- Incorporated
- Aug 17, 2020 in FL
- Enrollment address
- 4140 NW 37TH PL
Ste B
Gainesville, FL 32606-8153
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Concierge Home Care
- Overall star rating
- Ownership
- -
- Certified
- Aug 20, 2022
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2219726 | CHC of Gainesville LLC | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4140 NW 37th Pl
Ste B
Gainesville, FL 32606
Phone (352) 435-0101
Networks
- 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 17, 2020 | 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 17, 2020 | 65.54% |
| Jeffrey L Fisher | Corporate Officer | Aug 17, 2020 | |
| Reeve B. Waud Declaration of Trust DTD 02/21/96 | 5% Or Greater Indirect Ownership Interest | Apr 24, 2026 | 5.86% |
| Kelly Mullins | W-2 Managing Employee | Feb 6, 2026 | |
| Lauzya M Van Rensburg | W-2 Managing Employee | Jan 8, 2022 | |
| Concierge Home Care of Gainesville Holdings, LLC | 5% Or Greater Direct Ownership Interest | Aug 17, 2020 | 100% |
| New York State Teachers' Retirement System | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 6.16% |
| Homecare Partners Management, LLC | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 100% |
| Homecare Partners Acquisition Co., LLC | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 100% |
| Robert Young | Corporate Officer | Aug 17, 2020 | |
| Operational/Managerial Control | Oct 9, 2021 | ||
| Waud Capital Affiliates IV, LLC | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 12.14% |
| Homecare Partners Intermediate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 100% |
| WCP Fif IV (Homecare Partners), L.P. | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 23.69% |
| David Christopher Rucker | Corporate Officer | Aug 17, 2020 | |
| Joseph Malone | W-2 Managing Employee | Jun 1, 2025 | |
| Waud Capital Partners QP IV, L.P. | 5% Or Greater Indirect Ownership Interest | Aug 17, 2020 | 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 17, 2020 | 6.72% |
| Crescent Agency Services, LLC | 5% Or Greater Security Interest | May 25, 2021 | 100% |
Facilities with the same owner 22
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., Waud Capital Affiliates IV, LLC, Waud Capital Partners QP I
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., 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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
dba Concierge Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1003077066
Homecare Partners Acquisition Co., LLC, Homecare Partners Holdings, LLC, Homecare Partners Intermediate Holdings, LLC, Homecare Partners Management, LLC, Jacksonville Owners Holdings, Inc., Waud Capital Affiliates IV, LLC, Waud Capital Partners QP I
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
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., Reeve B. Waud Declaration of Trust DTD 02/21/96, Waud Capit
-
dba Concierge Home Care
- Home Health Agency
- Port St Lucie, FL
- NPI 1184222549
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
Practitioners & affiliated clinicians
Affiliated clinicians 73
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Gainesville, FL
- NPI 1114120292
Home health agency
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1275649766
Home health agency
-
- Internal Medicine Physician
- Gainesville, FL
- NPI 1689667339
Home health agency
-
- Adult Health Nurse Practitioner
- High Springs, FL
- NPI 1740418565
Home health agency
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1902820772
Home health agency
-
- Psychiatric/Mental Health Nurse Practitioner
- Alachua, FL
- NPI 1396409637
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1629670310",
"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": "4140 NW 37TH PL STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068153",
"telephone_number": "352-435-0101",
"fax_number": "352-435-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHC OF GAINESVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2023-12-27",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "904-733-1003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Gainesville, FL
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.