Organization Active NPI

Accessrehab LLC

Doing business as Concierge Home Care

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1891932463
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993541 Issued in FL
Legal business name
ACCESSREHAB LLC
Doing business as
Concierge Home Care
Practice address
4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone
(904) 733-1003
Fax
(904) 448-8855
NPI assigned
Jan 19, 2009
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Robert Gregory Young
Title
Secretary & Cao
Phone
(904) 733-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993541 FL Primary

Addresses

Primary practice location

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957

Mailing address

4655 Salisbury Rd Ste 110
Jacksonville, FL 32256-0957
Phone (904) 733-1003

Other identifiers 2

IdentifierTypeStateIssuer
299993541OtherFLAHCA
10D1106715OtherFLCLIA

Other names 1

  • Concierge Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000070 FL Part A Provider - Home Health Agency 9537297205 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891932463. Details of each certification follow.

Home health agency certification: CCN 109742

Legal name
ACCESSREHAB, LLC
Doing business as
CONCIERGE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2011
Last certification
Aug 30, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 26, 2008 in FL
Enrollment address
4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256-0957

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concierge Home CareCCN 109742 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 14, 2011
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
10D1106715Accessrehab LLC4655 Salisbury Rd Ste 110, Jacksonville, FL 32256Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

8855 San Jose Blvd
Jacksonville, FL 32217
Phone (904) 260-2598

8859 San Jose Blvd
Jacksonville, FL 32217

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 Máximo (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)

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Homecare Partners Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 99.21%
Waud Capital Partners Fif IV, L.P. Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Waud Homecare Partners Holdings, LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 65.54%
Jeffrey L Fisher Individual Corporate OfficerPresident Mar 15, 2021
New York State Teachers' Retirement System Organization, Albany, NY Non-profit 5% Or Greater Indirect Ownership Interest Sep 5, 2019 6.16%
Reeve B. Waud Declaration of Trust DTD 02/21/96 Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Apr 24, 2026 5.86%
Sheila Ripley-Minton Individual W-2 Managing EmployeeAlt. Admin & Alt. Don Dec 12, 2022
Homecare Partners Management, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 5, 2019 100%
Homecare Partners Acquisition Co., LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 5, 2019 100%
Robert Young Individual W-2 Managing EmployeeSecretary Jun 1, 2016
Concierge Home Care of Jacksonville LLC Organization, Jacksonville, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 15, 2015 100%
Waud Capital Affiliates IV, LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 12.14%
Homecare Partners Intermediate Holdings, LLC Organization, Jacksonville, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 5, 2019 100%
WCP Fif IV (Homecare Partners), L.P. Organization, Chicago, IL Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 23.69%
David Christopher Rucker Individual Corporate OfficerCeo Sep 5, 2019
Joseph Malone Individual W-2 Managing EmployeeCfo Jun 1, 2025
Operational/Managerial ControlCfo Jun 1, 2025
Deidra Broughton Individual W-2 Managing Employee Aug 18, 2023
Waud Capital Partners QP IV, L.P. Organization, Chicago, IL Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 50.61%
WCP Fif IV Homecare Partners Blocker, Inc. Organization, Chicago, IL Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 24, 2026 23.45%
Shirley Iqbal Individual W-2 Managing Employee Aug 14, 2023
Jacksonville Owners Holdings, Inc. Organization, Jacksonville, FL Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 5, 2019 6.72%
Crescent Agency Services, LLC Organization, Boston, MA LLC, For-profit 5% Or Greater Security Interest May 25, 2021 100%

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 5

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 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1891932463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560957",
            "telephone_number": "904-733-1003",
            "fax_number": "904-448-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 SALISBURY RD STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560957",
            "telephone_number": "904-733-1003",
            "fax_number": "904-448-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSREHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SECRETARY & CAO",
        "authorized_official_telephone_number": "904-733-1003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299993541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D1106715",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.