Caregenix Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAREGENIX HOME HEALTH LLC

Practice address

2604 Cypress Ridge Blvd Ste 102
Wesley Chapel, FL 33544-6311

Phone

(727) 722-7717

Fax

(727) 755-6627

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Emeka Eziakonwa

Title

Cfo

Phone

(408) 219-2277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687154

Legal name

CAREGENIX HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 25, 2022

Last certification

Jan 7, 2022

Organization structure

LLCProprietary

Incorporated

Jun 15, 2020 in FL

Enrollment address

2604 Cypress Ridge Blvd
Ste 102
Wesley Chapel, FL 33544-6311
HHA Branch

Listed as

Caregenix Home Health LLCCCN 687154

Ownership

-

Certified

Jan 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1801400346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 CYPRESS RIDGE BLVD STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446311",
            "telephone_number": "727-722-7717",
            "fax_number": "727-755-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CYPRESS RIDGE BLVD STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446311",
            "telephone_number": "727-722-7717",
            "fax_number": "727-755-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGENIX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "EZIAKONWA",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-219-2277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.

Verify at the official NPI Registry.