NPIMap

Organization Active NPI

Elite HH SWFL, LLC.

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1811528003
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HH SWFL, LLC.
Practice address
13461 Parker Commons Blvd Ste 201
Fort Myers, FL 33912-1839
Phone
(239) 333-1310
Fax
(239) 900-3223
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Daniel Frazer
Title
Ceo
Phone
(239) 333-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13461 Parker Commons Blvd Ste 201
Fort Myers, FL 33912-1839

Mailing address

13461 Parker Commons Blvd Ste 201
Fort Myers, FL 33912-1839
Phone (239) 333-1310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125002571 FL Part A Provider - Home Health Agency 3375954290 Practice locations: Fort Myers, FL

Home health agency certification: CCN 687121

Legal name
ELITE HH SWFL LLC
Doing business as
360 HOME HEALTHCARE AGENCY INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 25, 2021
Last certification
Aug 6, 2021
Ownership / control type
Proprietary
Organization structure
LLC
Enrollment address
13461 Parker Commons Blvd
Ste 201
Fort Myers, FL 33912-1839
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 687121
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 25, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13461 Parker Commons Blvd
Ste 201
Fort Myers, FL 33912
Phone (239) 333-1310

3611 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 333-1310

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Elite Home Health Group LLC Organization, Boca Raton, FL Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 5, 2025 100%
Roland Desrochers Individual Corporate OfficerOfficer Jan 31, 2025 33.3%
Ehhs Founders, Inc Organization, Fort Lauderdale, FL Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 5, 2025 6%
Elite HH Holdings, LLC Organization, Boca Raton, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 5, 2025 100%
Oe Elite Investors, LLC Organization, Miami, FL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 31, 2025 70%
Daniel Frazer Individual 5% Or Greater Indirect Ownership InterestOfficer Feb 15, 2025 15%
Corporate Officer Feb 15, 2025 33.3%
Josh Blimes Individual Corporate OfficerOfficer Jan 31, 2025 33.3%
Ehhg Founders, Inc Organization, Boca Raton, FL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 5, 2025 24%
Nhat-Huy John Nguyen Individual 5% Or Greater Indirect Ownership InterestOfficer Jan 31, 2025 15%
Tiffany Miller Individual W-2 Managing EmployeeAd; Nov 1, 2024 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 12

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1811528003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "239-333-1310",
            "fax_number": "239-303-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13461 PARKER COMMONS BLVD STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121839",
            "telephone_number": "239-333-1310",
            "fax_number": "239-900-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HH SWFL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-333-1310"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.