Aegean Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AEGEAN HOMECARE, LLC

Practice address

3016 N US Highway 301 Ste 350
Tampa, FL 33619-2269

Phone

(813) 333-5597

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Ed Smith

Title

Owner

Phone

(813) 333-5597

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687187

Legal name

AEGEAN HOMECARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 15, 2022

Last certification

Jun 3, 2022

Organization structure

LLCProprietary

Incorporated

Mar 18, 2015 in FL

Enrollment address

3016 N US Highway 301
Ste 350
Tampa, FL 33619-2269
HHA Branch

Listed as

Aegean Homecare LLCCCN 687187

Overall star rating

3 of 5

Ownership

-

Certified

Jun 15, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Donald C Sachs, MD

  • Neurological Surgery Physician
  • Lakeland, FL
  • NPI 1609081900

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1922465368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 N US HIGHWAY 301 STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192269",
            "telephone_number": "813-333-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 N US HIGHWAY 301 STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192269",
            "telephone_number": "813-333-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGEAN HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-333-5597"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tampa, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.