Addax Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADDAX HOME HEALTH LLC

Practice address

3820 Colonial Blvd Ste 103
Fort Myers, FL 33966-1094

Phone

(239) 878-0208

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By 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

Willy A Wallace

Title

President

Phone

(239) 878-0208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679235311. Details of each certification follow.

• CCN 687188 Home health agency · Active · Details

Home health agency certification: CCN 687188

Legal name

ADDAX HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 25, 2022

Last certification

Jul 14, 2022

Organization structure

LLCProprietary

Incorporated

Oct 11, 2021 in FL

Enrollment address

3820 Colonial Blvd
Ste 103
Fort Myers, FL 33966-1094
HHA Branch

Listed as

Addax Home Health LLCCCN 687188 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Jul 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Affiliated clinicians 6

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

• Adolfo Delgado, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1285055459

  Home health agency

  Care Compare affiliation
• David Eichten, D.O.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1073718797

  Home health agency

  Care Compare affiliation
• Edward Thomas Humbert Jr., DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1639185978

  Home health agency

  Care Compare affiliation
• Michael Monroe Jugan, D.O.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1396706966

  Home health agency

  Care Compare affiliation
• Francesca Marina Swartz, D.O.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1578742904

  Home health agency

  Care Compare affiliation
• Brett Alan Sweitzer, M.D.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1558547620

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1679235311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-878-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-878-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDAX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-878-0208"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Adams, M.S., CCC-A
• Mary K Adams, MS, CCC-SLP
• Sarah Anne Adams, APRN
• Stephanie Denise Adams, LMT, CLT
• Kimberly Jo Adamus, CRNA
• Brittany Addison
• Riliwan Adekiigbe, MD
• Sarina Adeni, MD
• Arlene Adesola
• Oluwadamilola Adeyemo

• Home Health Agency in Fort Myers, FL
• Providers in Fort Myers, 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 Oct 11, 2021; 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.