NPIMap

Organization Active NPI

Family Home Health Services, LLC

  • Home Health Agency
  • Sarasota, FL
National Provider Identifier
1851334627
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY HOME HEALTH SERVICES, LLC
Practice address
6012 Clark Center Ave
Sarasota, FL 34236-2716
Phone
(239) 513-1297
Fax
(239) 513-0031
NPI assigned
Jun 13, 2006
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Lisa Potter
Title
Cfo
Phone
(303) 413-6276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992208 FL
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6012 Clark Center Ave
Sarasota, FL 34236-2716

Mailing address

5460 63Rd St E Unit a
Bradenton, FL 34203-7808
Phone (941) 907-1595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050917000012 FL Part A Provider - Home Health Agency 9931196938 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Myers, FL; Naples, FL; Port Charlotte, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851334627. Details of each certification follow.

Home health agency certification: CCN 107630

Legal name
FAMILY HOME HEALTH SERVICES LLC
Doing business as
VITALCARING GROUP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2001
Last certification
Apr 28, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 15, 2004 in DE
Enrollment address
6844B International Center Blvd
Fort Myers, FL 33912-7129

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vitalcaring GroupCCN 107630 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 12, 2001
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

Locations

6012 Clark Center Ave
Sarasota, FL 34238
Phone (239) 513-1297

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021
Homecare Buyer, LLC Organization, Dallas, TX LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
Chris Walker Individual Corporate OfficerChief Operating Officer Jan 21, 2022
Janice Riggins Individual Corporate OfficerChief Clinical Officer Jul 5, 2022
TVG NP Homecare Acquisition Holdings, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
TVG NP Homecare Sponsorco, LP Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2021 100%
TVG NP Homecare Acquisition Intermediate, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
Life Care Partners of Florida LLC Organization, Dallas, TX LLC, Holding company 5% Or Greater Direct Ownership Interest Mar 30, 2018 100%
TVG NP Homecare Acquisition Subco II, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
Homecare Holdings, LLC Organization, Dallas, TX LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
TVG NP Homecare Topco, GP, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2021 100%
TVG NP Homecare Acquisition, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
Nautic Partners IX, LP Organization, Providence, RI Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021
Anna Burgess Individual Corporate OfficerRegional President Jul 5, 2022
W-2 Managing EmployeeRegional President Jul 5, 2022
TVG NP Homecare Acquisition Subco I, Inc. Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
TVG NP Homecare Topco, LP Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021 100%
Vistria Fund III LP Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021
Nautic Partners IX-a LP Organization, Providence, RI Holding company 5% Or Greater Indirect Ownership Interest Jul 30, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1851334627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E UNIT A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "941-907-1595",
            "fax_number": "941-907-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 CLARK CENTER AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362716",
            "telephone_number": "239-513-1297",
            "fax_number": "239-513-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-413-6276"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992208",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.