NPIMap

Organization Active NPI

Access Home Health of Florida, LLC

  • Home Health Agency
  • Palm Bay, FL
National Provider Identifier
1821027780
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACCESS HOME HEALTH OF FLORIDA, LLC
Practice address
2475 Palm Bay Rd NE Ste 140
Palm Bay, FL 32905-3362
Phone
(321) 725-4799
NPI assigned
Jul 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Nichols
Title
Authorized Signatory
Phone
(321) 725-4799

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 192

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

View all 192

Affiliated clinicians 26

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

View all 26

Care Compare: Home health agency

Medicare Care Compare
Listed as
Centerwell Home HealthCCN 107383
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 18, 1994
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
10D0886535Centerwell Home Health2475 Palm Bay Road NE Suite 140, Palm Bay, FL 32905Certificate of waiverMay 19, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000110 FL Part a Provider - Home Health Agency 5597709089 Practice locations: Palm Bay, FL

Home health agency certification: CCN 107383

Medicare enrollment files
Legal name
ACCESS HOME HEALTH OF FLORIDA, LLC
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 1994
Last certification
Nov 8, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2475 Palm Bay Rd NE
Ste 140
Palm Bay, FL 32905-3362

All disclosed owners & managing parties 17

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
Daniel K Feld Individual Corporate OfficerAssociate Vice-President, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident, Home Health Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Kentucky Homecare Parent Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Robert M Marcoux Individual Corporate OfficerVice President & Treasurer Apr 1, 2024
John W Nichols Individual Corporate OfficerAuthorized Signatory, Lic & Cert Mar 1, 2022
Healthfield Operating Group, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 18, 2005 100%
Kentucky Homecare Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Centerwell Health Services Holding Corp Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2013 100%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
Douglas a Edwards Individual Corporate OfficerSVP, Workplace Experience Mar 1, 2022
Capital Health Management Group LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2002 100%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2006 100%
Ramona Boodoo Individual W-2 Managing EmployeeAdministrator Feb 12, 2020
Joseph M Ruschell Individual Corporate OfficerAvp, Asst Gen CNSL & Corp Sec Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022
Healthfield, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 18, 2005 100%
CHMG Acquisition LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 18, 2005 100%
Susan M Diamond Individual Corporate OfficerChief Financial Officer Mar 1, 2022
Corporate DirectorBoard Member Mar 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Access Home Health of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

829 E Oak St
Ste B
Kissimmee, FL 34744

2080 W Eau Gallie Blvd
Ste B
Melbourne, FL 32935

2475 Palm Bay Rd NE
Ste 140
Palm Bay, FL 32905
Phone (321) 725-4799

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2475 Palm Bay Rd NE Ste 140
Palm Bay, FL 32905-3362

Mailing address

6330 Sprint Pkwy Ste 300
Overland Park, KS 66211-1157

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
J7HOtherG2

Other names 1

NPPES NPI Registry
  • CENTERWELL HOME HEALTH Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2022.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1821027780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 PALM BAY RD NE STE 140",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053362",
            "telephone_number": "321-725-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOME HEALTH OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "321-725-4799"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G2",
            "identifier": "J7H",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERWELL HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.