Active NPI
Waypoint Medical LLC
- Home Health Agency
- Titusville, FL
National Provider Identifier
1730409814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PENDING APPROVAL
- Legal business name
- WAYPOINT MEDICAL LLC
- Doing business as
- Waypoint Home Health Care
- Practice address
- 500 N Washington Ave Ste 108
Titusville, FL 32796-2759 - Phone
- (386) 690-4382
- NPI assigned
- Jun 11, 2010
- 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. James Riley Moyle
- Title
- Ceo
- Phone
- (386) 690-4382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PENDING APPROVAL | FL | Primary |
Addresses
Primary practice location
500 N Washington Ave Ste 108
Titusville, FL 32796-2759
Mailing address
1001 S Riverside Dr
Edgewater, FL 32132-2348
Phone (386) 690-4382
Other names 2
- Waypoint Home Health Care
- Waypoint Medical, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111005000235 | FL | Part A Provider - Home Health Agency | 4284806761 | Practice locations: Titusville, FL |
Home health agency certification: CCN 109776
- Legal name
- WAYPOINT MEDICAL LLC
- Doing business as
- WAYPOINT HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 22, 2012
- Last certification
- Apr 8, 2015
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 11, 2010 in FL
- Enrollment address
- 500 N Washington Ave
Ste 108
Titusville, FL 32796-2759
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Waypoint Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 22, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 10D2037034 | Waypoint Home Health Care | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Waypoint Health, Inc. | 5% Or Greater Direct Ownership Interest | Jan 5, 2011 | 100% |
| James Moyle | 5% Or Greater Indirect Ownership Interest | Jan 25, 2011 | 100% |
| W-2 Managing Employee | Oct 22, 2013 | 100% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1730409814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S RIVERSIDE DR",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "321322348",
"telephone_number": "386-690-4382",
"fax_number": "386-423-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE STE 108",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962759",
"telephone_number": "386-690-4382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYPOINT MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-11",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "MOYLE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RILEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-690-4382",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "PENDING APPROVAL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waypoint Home Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Waypoint Medical, LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.