Organization Active NPI

Coastal Breeze Home Health, LLC

  • Home Health Agency
  • Punta Gorda, FL
National Provider Identifier
1740867654
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COASTAL BREEZE HOME HEALTH, LLC
Practice address
24430 Sandhill Blvd Unit 303
Punta Gorda, FL 33983-5216
Phone
(941) 208-4463
Fax
(941) 241-2078
NPI assigned
Mar 26, 2021
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Yaima Delgado, RNNPI 1235864174
Title
Ceo
Phone
(239) 541-4698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

24430 Sandhill Blvd Unit 303
Punta Gorda, FL 33983-5216

Mailing address

24430 Sandhill Blvd Unit 303
Punta Gorda, FL 33983-5216
Phone (941) 208-4463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112001807 FL Part A Provider - Home Health Agency 5395134308 Practice locations: Sarasota, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740867654. Details of each certification follow.

Home health agency certification: CCN 687159

Legal name
COASTAL BREEZE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 21, 2022
Last certification
Feb 21, 2022
Organization structure
LLCProprietary
Incorporated
Mar 23, 2021 in FL
Enrollment address
1215 Sarasota Center Blvd
Sarasota, FL 34240-7881

Care Compare: Home health agency

Medicare Care Compare
Listed as
Coastal Breeze Home Health LLCCCN 687159 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Feb 21, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2244177Coastal Breeze Home Health LLC24430 Sandhill Blvd Unit #3, Punta Gorda, FL 33983Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

24430 Sandhill Blvd
Unit 303
Punta Gorda, FL 33983
Phone (941) 244-4414

1215 Sarasota Center Blvd
Sarasota, FL 34240
Phone (941) 681-8260

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Karma Holdings of South Florida Inc Organization, Cape Coral, FL Corporation 5% Or Greater Direct Ownership Interest Sep 13, 2023 50%
Operational/Managerial Control Sep 13, 2023 50%
Daimari Valero Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2023 25%
Corporate OfficerBoard Member Sep 13, 2023 25%
Corporate DirectorBoard Member Sep 13, 2023 25%
W-2 Managing EmployeeDirector of Nursing Sep 13, 2023 25%
Yaima Delgado Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2023 25%
Corporate OfficerBoard Member Sep 13, 2023 25%
Corporate Director Sep 13, 2023
Susan Mahoney Individual 5% Or Greater Direct Ownership Interest Mar 23, 2021 50%
Corporate DirectorAdmin/President Mar 23, 2021 50%
W-2 Managing EmployeeAdmin/President Mar 23, 2021 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 11

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1740867654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 SANDHILL BLVD UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835216",
            "telephone_number": "941-208-4463",
            "fax_number": "941-241-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 SANDHILL BLVD UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835216",
            "telephone_number": "941-208-4463",
            "fax_number": "941-241-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BREEZE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "YAIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-541-4698",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.