First Senior Home Health IV, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST SENIOR HOME HEALTH IV, LLC

Doing business as

First Senior Home Health

Practice address

417 Stowe Ave
Orange Park, FL 32073-5580

Phone

(813) 245-1789

NPI assigned

Dec 19, 2022

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Almendares III

Title

Partner

Phone

(813) 245-1789

Specialties & licenses 1

Addresses

Other names 1

• First Senior Home Health 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 1649982877. Details of each certification follow.

• CCN 109537 Home health agency · Active · Details

Home health agency certification: CCN 109537

Legal name

FIRST SENIOR HOME HEALTH IV LLC

Doing business as

FIRST SENIOR HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 28, 2010

Last certification

May 7, 2019

Ownership / control type

Proprietary

Most recent change of ownership

May 25, 2023

Organization structure

LLCProprietary

Incorporated

Aug 3, 2022 in FL

Enrollment address

417 Stowe Ave
Orange Park, FL 32073

Listed as

First Senior Home HealthCCN 109537 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 28, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, 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 3

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Central Florida Quality Care Services, Inc.

  • Home Health Agency
  • Deland, FL
  • NPI 1033554449

  Acquired from, 2023-05-25

  CMS change of ownership

Affiliated clinicians 7

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

• Alethea Brooke Brown, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1073065330

  Home health agency

  Care Compare affiliation
• Michael Joseph Conigliaro

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1205483898

  Home health agency

  Care Compare affiliation
• Matthew Hurst, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1962138594

  Home health agency

  Care Compare affiliation
• Cameron Money Macchia

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
  • NPI 1982309985

  Home health agency

  Care Compare affiliation
• Jessica North, ARNP

  • Nurse Practitioner
  • Saint Johns, FL
  • NPI 1679270888

  Home health agency

  Care Compare affiliation
• Kimberly Ann Robbins

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1083374888

  Home health agency

  Care Compare affiliation
• Amorie Brooke Wright, APRN

  • Family Nurse Practitioner
  • Fleming Island, FL
  • NPI 1558099150

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1649982877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805",
            "telephone_number": "850-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STOWE AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735580",
            "telephone_number": "813-245-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SENIOR HOME HEALTH IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "ALMENDARES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "813-245-1789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Senior Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Orange Park, FL
• Providers in Orange Park, 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 Feb 24, 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.

Verify at the official NPI Registry.