NPIMap

Organization Active NPI

Ub of West FL, LLC.

Doing business as Manatee Health at Home by BAYADA

  • Home Health Agency
  • Sun City Center, FL
National Provider Identifier
1922730654
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UB OF WEST FL, LLC.
Doing business as
Manatee Health at Home by BAYADA
Practice address
129 S Pebble Beach Blvd Ste 103
Sun City Center, FL 33573-5718
Phone
(813) 633-6800
Fax
(813) 633-6801
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Kyle Moore
Title
Officer
Phone
(856) 662-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

129 S Pebble Beach Blvd Ste 103
Sun City Center, FL 33573-5718

Mailing address

4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159

Other names 1

  • Manatee Health at Home by BAYADA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127000161 FL Part A Provider - Home Health Agency 8820469950 Practice locations: Sun City Center, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922730654. Details of each certification follow.

Home health agency certification: CCN 107776

Legal name
UB OF WEST FL, LLC
Doing business as
MANATEE HEALTH AT HOME BY BAYADA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 29, 2003
Last certification
Oct 16, 2019
Ownership / control type
Non-Profit
Most recent change of ownership
Nov 7, 2022
Organization structure
LLCProprietary
Enrollment address
129 S Pebble Beach Blvd
Ste 103
Sun City Center, FL 33573-5718

Care Compare: Home health agency

Medicare Care Compare
Listed as
Manatee Health at Home by BayadaCCN 107776 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 29, 2003
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
10D1107391Ub of West FL LLC129 S Pebble BCH Blvd - Ste 103, Sun City Center, FL 33573Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

129 S Pebble Beach Blvd
Ste 103
Sun City Center, FL 33573
Phone (813) 633-6800

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
David L Baiada Individual Corporate DirectorBoard Member Apr 27, 2020
Ubmhha, LLC. Organization, Pennsauken, NJ LLC 5% Or Greater Indirect Ownership Interest Nov 7, 2022 100%
Bayada Home Health Care, Inc. Organization, Pennsauken, NJ Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 7, 2022 40%
Michael Potito Individual W-2 Managing EmployeeAd; Jun 16, 2025
Operational/Managerial ControlAdministrator Jun 16, 2025
David V Rice Individual Corporate OfficerSecretary Dec 20, 2024
Ryan R Chandler Individual Corporate OfficerTreasurer Oct 13, 2023
Karla Perez Individual Corporate OfficerPresident Dec 14, 2022
Julie Okamoto Spencer Individual W-2 Managing EmployeeAd; Jun 3, 2024
Operational/Managerial Control Jun 3, 2024
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 7, 2022 60%
Gregory F. Bellomy Individual Corporate DirectorBoard Member Apr 27, 2020
Ub of West FL Holdco LLC Organization, Pennsauken, NJ LLC 5% Or Greater Direct Ownership Interest Nov 7, 2022 100%

Facilities with the same owner 280

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

View all 280

Change-of-ownership history 1

DateEventCounterparty
Nov 7, 2022 Change of OwnershipThis provider was the buyer Bayada Home Health Care, Inc.CCN 107776, FL, NPI 1124065982

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1922730654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376",
            "telephone_number": "973-909-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S PEBBLE BEACH BLVD STE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735718",
            "telephone_number": "813-633-6800",
            "fax_number": "813-633-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UB OF WEST FL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "856-662-4300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Health at Home by BAYADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.