Active NPI
Southwest Florida Home Care Inc
- Home Health Agency
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOUTHWEST FLORIDA HOME CARE INC
- Practice address
- 9720 Princess Palm Ave Ste 130
Tampa, FL 33619-8346 - Phone
- (813) 906-5058
- Fax
- (813) 374-5882
- NPI assigned
- Sep 11, 2019
- Last updated
- Feb 5, 2025
- Organization subpart
- Yes
- Parent organization
- SOUTHWEST FLORIDA HOME CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas McKeown
- Title
- Operations Manager
- Phone
- (813) 906-5058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9720 Princess Palm Ave Ste 130
Tampa, FL 33619-8346
Mailing address
9720 Princess Palm Ave Ste 130
Tampa, FL 33619-8346
Phone (813) 906-9058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611003227 | FL | Part A Provider - Home Health Agency | 8921918129 | Practice locations: Bradenton, FL; Tampa, FL; Winter Haven, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962051953. Details of each certification follow.
Home health agency certification: CCN 687063
- Legal name
- SOUTHWEST FLORIDA HOME CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 10, 2020
- Last certification
- Nov 10, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 3, 2002 in FL
- Enrollment address
- 9720 Princess Palm Ave
Ste 130
Tampa, FL 33619-8346
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Southwest Florida Home Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 10, 2020
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Part of
- Southwest Florida Home Care Inc
Locations
10971 Bonita Beach Rd SE
Ste 2
Bonita Springs, FL 34135
Phone (239) 947-9910
9240 Bonita Beach Rd SE
Ste 3317
Bonita Springs, FL 34135
Phone (239) 947-9910
3639 Cortez Rd W
Ste 111
Bradenton, FL 34210
Phone (813) 906-5058
2830 Winkler Ave
Ste 105
Fort Myers, FL 33916
Phone (239) 275-5233
4575 Via Royale
Ste 107
Fort Myers, FL 33919
Phone (239) 275-5233
9101 W College Pointe Dr
Ste 2
Fort Myers, FL 33919
Phone (239) 275-5233
4809 Ehrlich Rd
Ste 202
Tampa, FL 33624
Phone (813) 906-5058
9720 Princess Palm Ave
Ste 130
Tampa, FL 33619
Phone (813) 906-5058
555 Avenue L NW
Winter Haven, FL 33881
Phone (863) 293-4249
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bradley Beasley | Corporate Officer | Jun 26, 2007 | 2.4% |
| David Goldstein | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 3.6% |
| Corporate Director | Feb 1, 2021 | 3.6% | |
| Brian Beasley | 5% Or Greater Direct Ownership Interest | Jul 4, 2002 | 14.3% |
| Bruce Beasley | 5% Or Greater Direct Ownership Interest | Jul 4, 2002 | 11.4% |
| Anthony Gambuzza | Operational/Managerial Control | Mar 11, 2020 | 100% |
| Barbara Beasley | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 3.6% |
| Corporate Director | Jun 26, 2007 | 3.6% | |
| Synara Stanford | Corporate Director | Mar 11, 2020 | 100% |
| Robert Brahms | 5% Or Greater Direct Ownership Interest | Jun 26, 2007 | 29.5% |
| Robert Beasley | 5% Or Greater Direct Ownership Interest | Apr 8, 2020 | 2.5% |
| Corporate Officer | Jun 26, 2007 | 2.5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1740289016
5% Or Greater Direct Ownership Interest, Corporate Officer
Practitioners & affiliated clinicians
Affiliated clinicians 35
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- Lakewood Ranch, FL
- NPI 1548715295
Home health agency
-
- Adult Health Nurse Practitioner
- St Petersburg, FL
- NPI 1184162489
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Tampa, FL
- NPI 1639288137
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1962051953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 PRINCESS PALM AVE STE 130",
"city": "TAMPA",
"state": "FL",
"postal_code": "336198346",
"telephone_number": "813-906-9058",
"fax_number": "813-374-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 PRINCESS PALM AVE STE 130",
"city": "TAMPA",
"state": "FL",
"postal_code": "336198346",
"telephone_number": "813-906-5058",
"fax_number": "813-374-5882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST FLORIDA HOME CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHWEST FLORIDA HOME CARE, INC.",
"enumeration_date": "2019-09-11",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "MCKEOWN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "813-906-5058",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- Southern Advanced Rehabilitation Corp
- Southern Home Care Services, Inc. (Always Caring HomeCare)
- Emily Southers
- Brianne Kristin Southwell
- Mary Southwell
- Joao Victor Souza Peres, DO
- Piyush Vinayak Sovani, M.D.
- Sovereign Healthcare of Tampa, LLC (Bayshore Point Nursing & Rehab Center)
- Sowing Hope Health Services Inc
- Aixa Soyano Muller, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.