NPIMap

Organization Active NPI

Stat Home Health Florida Panhandle, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1861782443
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAT HOME HEALTH FLORIDA PANHANDLE, LLC
Practice address
127 S Alcaniz St
Pensacola, FL 32502-6009
Phone
(850) 857-1869
Fax
(850) 857-1889
NPI assigned
Apr 15, 2011
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Mr. Patrick Mitchell, CEO
Title
Managing Member
Phone
(225) 749-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

127 S Alcaniz St
Pensacola, FL 32502-6009

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 769-2449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000064 FL Part A Provider - Home Health Agency 8426210170 Practice locations: Pensacola, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861782443. Details of each certification follow.

Home health agency certification: CCN 103138

Legal name
STAT HOME HEALTH FLORIDA PANHANDLE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 30, 2012
Last certification
May 25, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 29, 2010 in FL
Enrollment address
127 S Alcaniz St
Pensacola, FL 32502-6009

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stat Home Health Florida Panhandle LLCCCN 103138 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 30, 2012
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
10D2030743Stat Home Health Florida Panhandle LLC127 S Alcaniz Street, Pensacola, FL 32502Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

915 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 315-0030

127 S Alcaniz St
Pensacola, FL 32502
Phone (850) 434-5033

2190 Airport Blvd
Ste 2450
Pensacola, FL 32504
Phone (850) 494-0060

2200 Airport Blvd
#2
Pensacola, FL 32504
Phone (850) 857-1869

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Stat Florida Parent, LLC Organization, Baton Rouge, LA LLC Other May 1, 2019
Violet Lynn Vinson Individual W-2 Managing EmployeeAd; Feb 28, 2025
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager and Ceo Dec 29, 2010
Other May 1, 2019 1%
Stat Operations LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jul 18, 2025 99%
Kelly Mitchell Individual OtherTrust Beneficiary Dec 31, 2022
PTM 2018 Family Trust Organization, Baton Rouge, LA 5% Or Greater Indirect Ownership Interest Jul 18, 2025 98%
Emily Holleman Individual OtherTrust Beneficiary Dec 31, 2022
PCM Home Health Enterprises, LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Jul 18, 2025 99%

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1861782443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-769-2449",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S ALCANIZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026009",
            "telephone_number": "850-857-1869",
            "fax_number": "850-857-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT HOME HEALTH FLORIDA PANHANDLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-749-2449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.