HEALTHY HOME PRIMARY CARE LLC
NPI 1164183869
Internal Medicine in Sun City Center, FL
About Healthy Home Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHY HOME PRIMARY CARE LLC (NPI 1164183869) is a healthcare organization registered as an internal medicine in Sun City Center, Florida and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Ellenton and lists Jonathan Dychko, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthy Home Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Healthy Home Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Sun City Center, FL 33573
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2270423
Healthy Home Primary Care, LLC · Sun City Center, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Healthy Home Primary Care LLC's NPI number?
The NPI number for Healthy Home Primary Care LLC is 1164183869. It was assigned to this organization in the NPPES registry on January 5, 2022.
Where is Healthy Home Primary Care LLC located?
Healthy Home Primary Care LLC is located at 819 Cypress Village Blvd, Sun City Center, FL 33573. The listed phone number is (813) 922-2660.
What is Healthy Home Primary Care LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Healthy Home Primary Care LLC enrolled in Medicare?
Yes. Healthy Home Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healthy Home Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Healthy Home Primary Care LLC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Healthy Home Primary Care LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Healthy Home Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Healthy Home Primary Care LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Healthy Home Primary Care Llc · NPI 1164183869
Internal Medicine organization in Sun City Center, Florida. Organization record, active in the CMS NPPES registry since January 5, 2022.
## Identity
- **NPI:** 1164183869 (Entity type: Organization)
- **Enumerated:** January 5, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jonathan Dychko, CEO
## Practice location
- **Address:** 819 CYPRESS VILLAGE BLVD, Sun City Center, FL 33573-6834
- **Phone:** (813) 922-2660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
- **Other identifiers:** Medicaid 118170000 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164183869) · Data from the CMS NPPES public registry.