Organization Active NPI

Providia Home Care LLC.

Doing business as Preferred Care Home Health Services

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1932935459
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDIA HOME CARE LLC.
Doing business as
Preferred Care Home Health Services
Practice address
3661 Cortez Rd W Ste 100
Bradenton, FL 34210-3230
Phone
(813) 540-3300
Fax
(813) 540-4400
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Mrs. Amanda Attia
Title
Administrator
Phone
(239) 464-2284

Specialties & licenses 1

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

Addresses

Primary practice location

3661 Cortez Rd W Ste 100
Bradenton, FL 34210-3230

Mailing address

3661 Cortez Rd W Ste 100
Bradenton, FL 34210-3230
Phone (813) 540-3300

Other names 1

  • Preferred Care Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424003844 FL Part A Provider - Home Health Agency 5092885376 Practice locations: Bradenton, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932935459. Details of each certification follow.

Home health agency certification: CCN 687428

Legal name
PROVIDIA HOME CARE LLC
Doing business as
PREFERRED CARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 4, 2025
Last certification
Aug 27, 2025
Organization structure
LLC
Enrollment address
3661 Cortez Rd W
Ste 100
Bradenton, FL 34210-3230

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
10D2313501Providia Home Care, LLC3661 Cortez Rd W - Suite 100, Bradenton, FL 34210Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Preferred Care Home Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3661 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (813) 540-3300

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
Christopher Melley Individual Corporate OfficerChief Executive Officer (Ceo) May 16, 2023 50%
W-2 Managing EmployeeChief Executive Officer (Ceo) May 16, 2023 50%
BB-HH Holdings, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 100%
Blackbern HH Investments, LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 51.94%
Tara Kimberly Schmidt Individual W-2 Managing EmployeeClinical Manager Oct 4, 2024 25%
The Christopher Melley Irrevocable Trust Dated October 30, 2020 Organization, Naples, FL 5% Or Greater Indirect Ownership Interest May 16, 2023 47.95%
Matevosyan Inc Organization, Senningerberg 5% Or Greater Indirect Ownership Interest May 16, 2023 30.54%
Melley Home Health Holdings, LLC Organization, Naples, FL Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 47.95%
P3-Pe, LLC Organization, Seattle, WA LLC 5% Or Greater Indirect Ownership Interest May 16, 2023 11.48%
Providia Home Care Holdings LLC Organization, Fort Myers, FL LLC, Holding company 5% Or Greater Direct Ownership Interest May 16, 2023 100%
Operational/Managerial Control May 16, 2023 100%
BB-HH Platform, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest May 16, 2023 100%
Christoph Peters Individual Corporate OfficerChief Financial Officer (Cfo) May 31, 2023 25%
W-2 Managing EmployeeChief Financial Officer (Cfo) May 31, 2023 25%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1932935459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 CORTEZ RD W STE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103230",
            "telephone_number": "813-540-3300",
            "fax_number": "813-540-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 CORTEZ RD W STE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103230",
            "telephone_number": "813-540-3300",
            "fax_number": "813-540-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDIA HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-464-2284",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.