Ortho Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ORTHO HOME HEALTH CARE, LLC

Doing business as

A Care Connection Home Health, LLC

Practice address

422 Jacksonville Dr
Jacksonville Beach, FL 32250-3812

Phone

(904) 899-5520

Fax

(904) 899-5521

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Deborah Davis Young, BSN, RNNPI 1710155924

Title

Administrator

Phone

(904) 899-5520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Care Connection Home Health, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649598327. Details of each certification follow.

• CCN 109709 Home health agency · Active · Details

Home health agency certification: CCN 109709

Legal name

ORTHO HOME HEALTH CARE, LLC

Doing business as

A CARE CONNECTION HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 4, 2011

Last certification

Aug 2, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 14, 2008 in FL

Enrollment address

11512 Lake Mead Ave
Unit 402
Jacksonville, FL 32256-9687

Listed as

A Care Connection Home HealthCCN 109709 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Sep 4, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Davis Young, RN

  • Orthopedic Registered Nurse
  • Jacksonville Beach, FL
  • NPI 1710155924
  NPD Authorized official

Affiliated clinicians 6

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

• Patrick D Brooks, MD

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1063975043

  Home health agency

  Care Compare affiliation
• Kye Im Chong, MD

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1376736355

  Home health agency

  Care Compare affiliation
• Timothy R Hastings, MD

  • Orthopaedic Surgery Physician
  • Jacksonville Beach, FL
  • NPI 1568436582

  Home health agency

  Care Compare affiliation
• Blake Earl Piepenbrink, DO

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1154063337

  Home health agency

  Care Compare affiliation
• Alice J Reed, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1356355796

  Home health agency

  Care Compare affiliation
• Milton John Vonthron, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville Beach, FL
  • NPI 1801890264

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1649598327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 JACKSONVILLE DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503812",
            "telephone_number": "904-899-5520",
            "fax_number": "904-899-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 JACKSONVILLE DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503812",
            "telephone_number": "904-899-5520",
            "fax_number": "904-899-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-899-5520",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CCN: 10-9709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Care Connection Home Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Octopia
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• Optopia Inc.
• Joseph P Orallo, APRN
• Andrew A Orpiano, ATC
• Erik Javier Ortiz
• Stephanie Ortman, M.D.
• Mohana Oshea
• Richard S Oxhorn, PH.D.
• P a T H Health Center Inc

• Home Health Agency in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.

Verify at the official NPI Registry.