Organization Active NPI

Infinity Home Health Care of Florida Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1790197705
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
P14000029143 Issued in FL
Legal business name
INFINITY HOME HEALTH CARE OF FLORIDA INC.
Practice address
4348 Southpoint Blvd Ste 311
Jacksonville, FL 32216-0934
Phone
(386) 569-5195
Fax
(386) 437-1857
NPI assigned
May 25, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Rosemary Santamaria
Title
Senior Vice President
Phone
(786) 507-2400

Facilities with the same owner 9

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southeast HomecareCCN 683190
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 31, 2015
Medicare certification status
Active (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
10D2082056Infinity Home Health Care of Florida Inc4348 Southpoint Blvd - Ste 311, Jacksonville, FL 32216Certificate of waiverAug 5, 2026

Medicare participation

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

Home health agency certification: CCN 683190

Medicare enrollment files
Legal name
INFINITY HOME HEALTH CARE OF FLORIDA INC
Doing business as
SOUTHEAST HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 31, 2015
Last certification
Jun 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 31, 2014 in FL
Enrollment address
4348 Southpoint Blvd
Ste 311
Jacksonville, FL 32216-0934

All disclosed owners & managing parties 18

Medicare enrollment files

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

NameRoleSinceShare
Ihcs Purchaser Corporation Organization, Providence, RI Corporation 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Ihcs/CMS Parent LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 4, 2018 100%
Donald K Klink Individual Corporate OfficerChief Financial Officer Aug 21, 2023
Ajani Pidikiti Nimmagadda Individual Corporate OfficerChief Medical Officer Oct 7, 2024
Integrated Home Care Acquisition Corp Organization, Miramar, FL Corporation 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Karen Joblove Individual Corporate OfficerVice President Jul 5, 2019
Ihcs/CMS Holdings LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Lacresa Citizen Individual W-2 Managing EmployeeAd;Director of Nursing Jun 26, 2023
Steven Haft Individual Corporate OfficerCfo Aug 19, 2022
Nautic Partners VIII LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 42.2%
Ihcs Purchaser Holdco Inc Organization, Providence, RI Corporation 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Integrated Home Care Investors Inc. Organization, Miramar, FL Corporation 5% Or Greater Direct Ownership Interest Sep 4, 2018 100%
Operational/Managerial Control Jul 5, 2019 100%
Carmen Rodriguez Individual Contracted Managing EmployeeAd; Jan 31, 2022
Christopher Bradbury Individual Corporate OfficerChief Executive Officer Aug 19, 2022
Rosemary Santamaria Individual W-2 Managing EmployeeSenior Vice President Jul 5, 2019
Raul Rodriguez-Alvarez Individual 5% Or Greater Indirect Ownership Interest Aug 6, 2015 11%
Nautic Partners VIII a LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 16.4%
Linda J Mendez Individual Corporate OfficerChief Operating Officer Coo Aug 6, 2015

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20150427000650 FL Part a Provider - Home Health Agency 2062731946 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

1325 W Highway 100
Bunnell, FL 32110
Phone (386) 313-6971

4348 Southpoint Blvd
Ste 311
Jacksonville, FL 32216
Phone (386) 569-5195

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X P14000029143 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4348 Southpoint Blvd Ste 311
Jacksonville, FL 32216-0934

Mailing address

4348 Southpoint Blvd Ste 311
Jacksonville, FL 32216-0934
Phone (386) 313-6971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2021.

{
    "created_epoch": "1400976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1790197705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160934",
            "telephone_number": "386-313-6971",
            "fax_number": "386-313-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 311",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160934",
            "telephone_number": "386-569-5195",
            "fax_number": "386-437-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOME HEALTH CARE OF FLORIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-25",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "SANTAMARIA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "786-507-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "P14000029143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.