Organization Active NPI

Advanced Nursing Concepts, LLC

  • Home Health Agency
  • The Villages, FL
National Provider Identifier
1720006414
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991635 Issued in FL
Legal business name
ADVANCED NURSING CONCEPTS, LLC
Practice address
314 Lagrande Blvd Ste C
The Villages, FL 32159-2393
Phone
(352) 742-9856
Fax
(352) 820-3975
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Kimberly L. Biegasiewicz
Title
President
Phone
(407) 216-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299991635 FL Primary

Addresses

Primary practice location

314 Lagrande Blvd Ste C
The Villages, FL 32159-2393

Mailing address

5900 Lake Ellenor Dr Ste 700B
Orlando, FL 32809-4618
Phone (352) 742-9856

Other identifiers 1

IdentifierTypeStateIssuer
109947000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000233 FL Part A Provider - Home Health Agency 6901822428 Practice locations: Tavares, FL; Ocala, FL

Home health agency certification: CCN 107728

Legal name
ADVANCED NURSING CONCEPTS ,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 2002
Last certification
Oct 9, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 21, 2002 in FL
Enrollment address
888 S Duncan Dr
Tavares, FL 32778-4044

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advanced Nursing Concepts LLCCCN 107728
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 18, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Advanced Nursing Concepts LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2119 SW 1st Ave
Ocala, FL 34471
Phone (352) 742-9856

882 S Duncan Dr
Tavares, FL 32778

314 Lagrande Blvd
Ste C
The Villages, FL 32159
Phone (352) 742-9856

Networks

  • 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)
  • 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 Maximo (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)…

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Marcus a Bowens Individual Corporate OfficerChief Financial Officer Jul 1, 2020
Kimberly L. Biegasiewicz Individual Corporate OfficerPresident Feb 4, 2022
Matan Ben- Aviv Individual Corporate Officer Apr 18, 2013 100%
Ganot Funding LLC Organization, Hollywood, FL LLC 5% Or Greater Indirect Ownership Interest Apr 18, 2013 100%
GF Care LLC Organization, Hollywood, FL LLC 5% Or Greater Direct Ownership Interest Apr 18, 2013 100%
Harvey Lewis Lichtman Individual Corporate Officer Apr 18, 2013
Pamela J. Craft Individual W-2 Managing EmployeeAdministrator Feb 8, 2021
Dawn M. Wozniak Individual Operational/Managerial Control Mar 16, 2020
GF Opportunity I LLC Organization, Hollywood, FL LLC 5% Or Greater Indirect Ownership Interest Apr 18, 2013 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1720006414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094618",
            "telephone_number": "352-742-9856",
            "fax_number": "352-820-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LAGRANDE BLVD STE C",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321592393",
            "telephone_number": "352-742-9856",
            "fax_number": "352-820-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NURSING CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "BIEGASIEWICZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-216-0101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109947000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.