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HEALTHY HOME PRIMARY CARE LLC
NPI 1164183869
Internal Medicine in Sun City Center, FL

Active since January 05, 2022CLIA 10D2270423 · Waiver
819 CYPRESS VILLAGE BLVD, SUN CITY CENTER, FL 33573(813) 922-2660 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Sep 5, 2022, Jan 5, 2022 (3 updates tracked since 2022).

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 holds a CLIA Waiver certificate valid through October 13, 2026 and lists Jonathan Dychko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164183869
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALTHY HOME PRIMARY CARE LLC
Location Address819 CYPRESS VILLAGE BLVDSun City Center, FL 33573-6834
Mailing Address819 Cypress Village BlvdSun City Center, FL 33573-6834 · (813) 922-2660 · Fax (833) 784-1539
Phone(813) 922-2660
Organization SubpartNo
Authorized OfficialJonathan DychkoCeo · (813) 922-2660
Enumeration DateJanuary 5, 2022
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1164183869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
819 CYPRESS VILLAGE BLVD, Sun City Center, FL 33573
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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, FL
Active · expires Oct 13, 2026
CLIA Number10D2270423
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorJonathan D. Dychko
Laboratory Phone(813) 922-2660
Laboratory LocationHealthy Home Primary Care, LLC819 Cypress Village Blvd, Sun City Center, FL 33573
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN DYCHKO
Internal Medicine
819 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL 33573
Hillsborough County (813) 922-2660
NICOLE ANNA FORE PA
Physician Assistant (Medical)
819 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL 33573
Hillsborough County (716) 712-0851

Frequently 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.

Does Healthy Home Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2270423) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.