NPIMap

Organization Active NPI

BGR Acquisition, LLC

  • Home Health Agency
  • Ormond Beach, FL
National Provider Identifier
1780708172
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21661096 Issued in FL
Legal business name
BGR ACQUISITION, LLC
Practice address
1425 Hand Ave Ste I
Ormond Beach, FL 32174-1136
Phone
(386) 615-7200
Fax
(386) 615-0330
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Nicholas Gachassin III
Title
Secretary/Treasurer
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21661096 FL Primary

Addresses

Primary practice location

1425 Hand Ave Ste I
Ormond Beach, FL 32174-1136

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

2450 Old Moultrie Rd
Suite 101
St Augustine, FL 32086-4199
Phone (904) 794-2451

Other identifiers 1

IdentifierTypeStateIssuer
002014500MedicaidFL

Other names 1

  • Apex Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000340 FL Part A Provider - Home Health Agency 3173629136 Practice locations: Ormond Beach, FL

Home health agency certification: CCN 107593

Legal name
BGR ACQUISITION, LLC
Doing business as
APEX HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 18, 1998
Last certification
Jul 13, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1425 Hand Ave
Ste I
Ormond Beach, FL 32174-1136

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apex Home HealthcareCCN 107593
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 18, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D1090220BGR Acquisition LLC Dba Apex Home Healthcare1425 Hand Avenue Suite 1, Ormond Beach, FL 32174Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

1123 Beville Rd
Ste C D
Daytona Beach, FL 32119
Phone (386) 763-1588

1522 Oak St
Ste 100
Jacksonville, FL 32204
Phone (904) 353-2501

6650 St Augustine Rd
Ste 203
Jacskonville, FL 32217
Phone (904) 353-2501

2864 Moody Ave
Orange Park, FL 32073
Phone (352) 478-8273

1425 Hand Ave
Ste I
Ormond Beach, FL 32174
Phone (386) 615-7200

1425 Hand Ave
Ste 1A
Ormond Beach, FL 32174

1265 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 763-1588

145 Cypress Point Pkwy
Ste 102
Palm Coast, FL 32164
Phone (386) 246-6961

4984 Palm Coast Pkwy NW
Ste 7
Palm Coast, FL 32137
Phone (386) 246-6961

790 Dunlawton Ave
Ste I
Port Orange, FL 32127
Phone (386) 322-6882

2450 Old Moultrie Rd
Ste 101
St Augustine, FL 32086
Phone (904) 342-3675

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Feb 22, 2023
W-2 Managing Employee Apr 13, 2026
Marie Passariello-Dickens Individual W-2 Managing EmployeeDirector of Nursing/Alternate Admin Nov 23, 2015
Joni Babineaux Individual Corporate OfficerCoo Apr 13, 2026
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
Kelly a Fromm Individual W-2 Managing EmployeeAd;Alternate Director of Nursing Apr 30, 2018
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
Omni Home Health Holdings Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 20, 2011 100%
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Sun Crest Healthcare Inc Organization, Lafayette, LA Corporation, For-profit 5% Or Greater Direct Ownership Interest May 20, 2011 100%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1780708172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE I",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-615-7200",
            "fax_number": "386-615-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Old Moultrie Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320864199",
            "country_code": "US",
            "telephone_number": "904-794-2451",
            "fax_number": "904-794-2454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BGR ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21661096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002014500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.