Revised January 16, 2008 Page 6 of 8
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A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches M’care/cai Counties Served (County of main s s d office) 01 5025095 Covenant Hospice, Inc. None 00 10075 Hillview Rd 08 9288 370 Redstone Dr exp 11/30 5041 N 12th Ave Pensacola FL 32514 04 N/A Crestview FL 32536 Pensacola FL 32504-8916 (1/27/05 increase to 12 10-1513 (850) 433-2155 4349 Lafayette St Marianna FL 32446 0875171 Bay, Calhoun, Escambia, Franklin, 00 Gadsden, Gulf, Holmes, Jackson, Jefferson, 5907 Berryhill Rd Leon, Liberty, Madison, Okaloosa, Santa Milton FL 32570 Rosa, Taylor, Wakulla, Walton & Washington 101 Hart St Niceville FL 32578
107 W 19th St Panama City FL 32405
2001 N Palafox St Pensacola FL 32501
1545 Raymond Diehl Rd Ste 102 Tallahassee FL 32308 02 5002096 Big Bend Hospice, Inc. None 00 1723-1 Mahan Center Blvd 12 9370 207 Ave B SE exp 03/31 1723 Mahan Center Blvd Tallahassee FL 32308 Carrabelle FL 32322 Tallahassee FL 32308-5428 10-1523 (850) 878-5310 36 Madison St Chattahoochee FL 32324 0875244 Mailing address: 00 1966 Commonwealth Ln 2889 Crawfordville Hwy Ste 4 Tallahassee FL 32303-3196 Crawfordville FL 32327
Franklin, Gadsden, Jefferson, Leon, Liberty, 801 SW Smith St Madison, Taylor & Wakulla Madison FL 32340
205 N Mulberry St Monticello FL 32344
107 E Green St Perry FL 32347
105 N Jackson St Quincy FL 32351 02 5001096 Emerald Coast Hospice None 00 None 00 N/A 131 Redstone Ave Ste 110 exp 02/28 2925 Martin Luther King Blvd Crestview FL 32536 Panama City FL 32405-4411 10-1537 (850) 769-0055 419A Racetrack Rd Ft Walton Beach FL 32548 1500091 Bay, Calhoun, Escambia, Gulf, Holmes, 00 Jackson, Okaloosa, Santa Rosa, Walton & 4374 Lafayette St Washington Marianna FL 32447
(FKA Hospice of the Emerald Coast) 5401 Corporate Woods Dr Ste 800, Pensacola FL 32504
Revised January 16, 2008 Page 1 of 15 A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main s s d office) 03 5019096 Cornerstone Hospice and Palliative Care None 12300 Lane Park Rd 04 9625 None exp 05/31 12300 Lane Park Rd Tavares FL 32778 N/A Tavares FL 32778-9660 06/29/06 conversion 02 10-1525 (352) 343-1341 601 Casa Bella 12 9679 0875261 Hardee, Highlands, Lake, Orange, Osceola, Lady Lake FL 32162 00 Polk & Sumter 12/08/03
(FKA Hospice of Lake & Sumter, Inc.) 2100 Oakley Seaver Dr 10 9848 Clermont FL 34711 10/18/07 03 5023096 Haven Hospice None 4200 NW 90th Blvd 10 9292 4305 NW 90th Blvd exp 05/31 4200 NW 90th Blvd Gainesville FL 32606 Gainesville FL 32606 Gainesville FL 32606-3809 05/03/06 increase to 18 08 N/A 10-1515 (352) 378-2121 6500 St. John’s Ave 6400 St Johns Ave 10 9728 Palatka FL 32177 0875198 Alachua, Baker, Bradford, Clay, Columbia, Palatka FL 32177 00 Dixie, Duval, Gilchrist, Hamilton, Lafayette, 05/18/04 - conversion 624 N Main St Levy, Nassau, Putnam, St. Johns, Suwannee 10/08/07 conversion 02 N/A Chiefland FL 32626 & Union 311 NE 9th St 12 9727 6037 W US Hwy 90 (FKA Hospice of North Central Florida) Chiefland FL 32626 Lake City FL 32055 10/28/04 10/08/07 conversion 04 N/A 8301 Cypress Plaza Dr Ste 119 Jacksonville FL 32256 6037 W US Hwy 90 12 9847 Lake City FL 32055 01/26/07 10/08/07 conversion 04 N/A 03 5016096 Hospice of Citrus County, Inc. None 3350 W Audubon Park 16 9815 16 NE 5th St exp 07/31 4005 N Lecanto Hwy Path Crystal River FL 34429 Beverly Hills, FL 34465-3509 Lecanto FL 34450 10-1526 (352) 527-2020 12/23/05 644 Santa Fe Blvd High Springs FL 32643 0875368 Alachua, Bradford, Citrus ,Columbia, Dixie, 00 Gilchrist, Hamilton, Lafayette, Levy, Putnam, 326 S Line Ave Suwannee & Union Inverness FL 34452
(Counties of Subdistrict 3A added 06/01/07) 03 5020096 Hospice of Marion County, Inc. 2895 SE 62nd St 08 None 00 N/A None exp 12/31 3231 SW 34th Ave Ocala FL 34480 Ocala FL 34478-4860 10-1518 (352) 873-7400 2897 SE 62nd St 08 Ocala FL 34480 0875201 Marion 00 9505 SW 110th St 24 Ocala FL 34481
17395 SE 109th Terrace 24 Rd
Revised January 16, 2008 Page 2 of 15 Summerfield FL 34491 08/17/06
Revised January 16, 2008 Page 3 of 15 A License Hospice Residential Units Be Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main office) s d 04 5024096 Community Hospice of Northeast Florida, Inc. None 4266 Sunbeam Rd 24 9426 5238-5 Norwood Ave exp 07/31 4266 Sunbeam Rd Jacksonville FL 32257 Jacksonville FL 32208 Jacksonville FL 32257-6030 06/06/05 conversion 14 N/A 10-1500 (904) 268-5200 728 Blanding Blvd Ste 4 5450 Ramona Blvd 16 9820 Orange Park FL 32065 0874078 Baker, Clay, Duval, Nassau & St. Johns Jacksonville FL 32205 00 01/16/07 525 State Rd 16 Ste 112 St. Augustine FL 32084 4715 Worrall Way 16 9819 Jacksonville FL 32224 96084 Victoria’s Pl 09/26/07 Yulee FL 32097 04 5039096 Florida Hospital HospiceCare None 00 150 Memorial Medical 08 9851 None exp 05/31 770 W Granada Blvd Ste 304 Pkwy Ormond Beach FL 32174-5180 Palm Coast FL 32164 10-1539 (386) 671-2138 04/23/07
1500031 Flagler & Volusia 00 (FKA Florida Hospital Memorial HospiceCare) 04 50370971 Heartland Home Health Care and Hospice None 00 None 00 N/A None exp 09/05 8130 Baymeadows Way W Ste 201 Jacksonville FL 32256-4409 10-1549 (904) 737-2553
Baker, Clay, Duval, Nassau & St. Johns 04 5034096 Hospice of Volusia-Flagler 1020 Claudia St 05 3800 Woodbriar Trl 16 9486 1250 S Spring Garden Rd Ste 4 exp 07/30 3800 Woodbriar Trl New Smyrna Beach 32168 Port Orange FL Deland FL 32720 Port Orange FL 32129-9626 01/25/05 08/01/02- conversion 10-1522 (386) 322-4701 555 W Granada Blvd Ste H-8 1625 Veterans Memorial 06 1625 Veterans Memorial 12 9686 Ormond Beach FL 32174 0875236 Flagler & Volusia Pkwy Pkwy 00 Orange City FL 32763 Orange City FL 32763 7 Florida Park Dr (12/06/07) (12/06/07) Palm Coast FL 32137
Edgewater FL (04 Edgewater FL (08) 9850 (in addition to inpatient) ) (04/14/06 need for survey) 04 50370968 Odyssey HealthCare None 00 None 00 N/A 3 Hargrove Grade Ste 5 exp 02/14 149 S Ridgewood Ave Ste 600 Palm Coast FL 32137 Daytona Beach FL 32114-4365 10-1546 (386) 248-2380
1500155 Flagler & Volusia 00 (FKA Hospice of the Palm Coast) 05 5005096 Gulfside Regional Hospice, Inc. 6230 Lafayette St 10 None 00 N/A 6230 Lafayette St exp 03/31 6117 Trouble Creek Rd New Port Richey FL New Port Richey FL 34652 New Pt Richey FL 34653-5240 10-1532 (727) 845-5707 6224 Lafayette St New Port Richey FL 34652
Revised January 16, 2008 Page 4 of 15 0875708 Pasco 00 37826 Sky Ridge Rd (FKA Hospice of Pasco, Inc.) Dade City FL 33525
Revised January 16, 2008 Page 5 of 15 A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main office) s s d 05 5008096 Hernando-Pasco Hospice, Inc. 12254 Cortez Blvd 08 6801 Rowan Rd 24 9487 12260 Cortez Blvd exp 02/28 12107 Majestic Blvd Brooksville FL 34613 New Port Richey FL 34653 24 N/A Brooksville FL 34613 Hudson FL 34667-2455 11/21/05 increase to 48 10-1511 (727) 863-7971 37441 Clinton Ave 08 698 S Broad St Dade City FL 33525 37439 Clinton Ave 16 9734 Brooksville FL 34601 0875155 Citrus, Hernando & Pasco Dade City FL 33525 16 N/A 00 12139 Majestic Blvd 07 12/14/06 increase to 32 37445 Clinton Ave (Citrus County added 06/01/05 – CON 9678) Hudson FL 34667 Dade City FL 33525 Brooksville (24) 9922 (anticipated 2008) 12029 Majestic Blvd Ste 1 Hudson FL 34667
3545 Lecanto Hwy Beverly Hills FL 34465
6807 Rowan Rd New Port Richey FL 34653 05 5032096 The Hospice of the Florida Suncoast, Inc. The Villas at Woodside 22 Hospice House Woodside 50 9167 Cross Bayou FlexxSpace exp 06/30 5771 Roosevelt Blvd 6770-102nd Ave N 6770-102nd Ave N 11701 S Belcher Rd Ste 130 Clearwater FL 33760-3413 Pinellas Park FL 33782 Pinellas Park FL 33782 Largo FL 33773 10-1508 (727) 586-4432 renovated 10/29/04 renovated 10/29/04 2675 Tampa Rd 0875325 Pinellas Palm Harbor FL 34683 00 3050 1st Ave S St. Petersburg FL 33712 06 50060951 Good Shepherd Hospice None 00 105 Arneson Ave 12 9437 105 Arneson Ave exp 08/25 115 S Missouri Ave Ste 500 Auburndale FL 33823 Auburndale FL 33823 Lakeland FL 33815-4632 02/20/03 conversion 10-1507 (863) 402-1066 1239 E Main St Ste 1 Bartow FL 33830 1500163 Hardee, Highlands & Polk 00 (Hardee & Highlands added 08/01/06 due to 280 Patterson Rd the closure of Good Shepherd Hospice, Haines City FL 33844 Sebring) 50 Lake Morton Dr (owned by LifePath Hospice and Palliative Lakeland FL 33801 Care, Inc.) 4418 Sun ‘n Lake Blvd Ste B Sebring FL 33872
320 N 6th Ave Wauchula FL 33873 06 5018095 LifePath Hospice and Palliative Care, Inc. None 00 908 American Eagle Blvd 04 9385 3725 Upper Creek Dr exp 11/30 12973 Telecom Pkwy Ste 100 Sun City Center FL 33573 04 9580 Ruskin FL 33573 Tampa FL 33637-0907 12/2002 conversion 10-1507 (813) 877-2200 11150 N 53rd St 11125 N 52nd St 24 9582 Temple Terrace FL 33617-4068 0875112 Hardee, Highlands, Hillsborough & Polk Temple Terrace FL 33617 00 05/06/05 3010 W Azeele St Tampa FL 33609-3139 3723 Upper Creek Dr 24 9787 Revised January 16, 2008 Page 6 of 15 Ruskin FL 33573 11/07/06
Revised January 16, 2008 Page 7 of 15 A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main office) s s d 07 5030096 Hospice of the Comforter, Inc. None 00 605 Montgomery Rd (16) 9859 251 Altamonte Commerce Blvd exp 03/31 480 W Central Pkwy Altamonte Springs FL Suite 1410 Altamonte Springs FL 32714-2415 32714 Altamonte Springs FL 32714 10-1533 (407) 682-0808 (01/16/08 request survey) 2727 N John Young Pkwy 0872563 Orange, Osceola & Seminole Kissimmee FL 34741 00 07 50090961 Hospice of Health First, Inc. None 00 381 Medplex Pkwy NE 08 9445 200 S Courtenay Pkwy exp 04/30 1900 Dairy Rd Palm Bay FL 32907 08 N/A Merritt Island FL 32952 W Melbourne FL 32904-4046 09/01/04 10-1520 (321) 952-0494 05/24/07 increase to 16
0875228 Brevard 00 07 5029096 Hospice of St. Francis, Inc. None 00 None 00 N/A None exp 06/30 1250 Grumman Pl Ste B Titusville Fl 32780-5563 10-1534 (321) 269-7927
0872555 Brevard 00 07 50370963 Samaritan Care Hospice None 00 None 00 N/A None exp 01/22 1300 N Semoran Blvd Ste 210 Orlando FL 32807-3567 10-1540 (407) 514-1300
1500066 Orange & Osceola 00 (FKA Hospice of Orange-Osceola) 07 50370966 Vitas Healthcare Corporation of Central None 00 None 00 9498 1200 N Central Ave Ste 200 exp 09/08 Florida Kissimmee FL 34741 4450 W Eau Gallie Blvd Ste 280 10-1545 Melbourne Fl 32934-7214 5151 Adanson St Ste 200 (321) 751-6671 Orlando FL 32804 1500121 00 Brevard, Flagler, Orange, Osceola, Seminole 533 N Nova Rd Ste 206 & Volusia Ormond Beach FL 32174
(counties merged with Brevard 08/01/07) 07 5003096 Wuestoff Brevard Hospice & Palliative Care None 00 110 Longwood Ave 12 9444 None exp 07/31 8060 Spyglass Hill Rd 4 Tower Viera, FL 32940-7983 Rockledge FL 32955 10-1514 (321) 253-2222 x4700 leasing delicensed/ decertified hospital beds 0875180 Brevard 07/01/03 00 08 5022096 Avow Hospice, Inc. None 00 1095 Whippoorwill Ln 16 9502 750 S 5th Ave, Ste 709 exp 01/31 1095 Whippoorwill Ln Naples FL 34105 Immokalee FL 34142 Naples FL 34105-3847 10-1528 (239) 261-4404 15495 Tamiami Trail N #125 Revised January 16, 2008 Page 8 of 15 Naples FL 34110 0875376 Collier 00 678 Bald Eagle Dr, Ste 6 (FKA Hospice of Naples, Inc.) Marco Island FL 34145
Revised January 16, 2008 Page 9 of 15 A License Hospice Residential Units Bed Inpatient Facilities Beds CON Branches O M’care/cai Counties Served (County of main office) s d 08 5010096 Hope Hospice & Community Services 2430 Diplomat Pkwy E 12 2430 Diplomat Pkwy E 24 9244 27200 Imperial Pkwy exp 08/31 9470 HealthPark Cir Cape Coral FL 33909 Cape Coral FL 33909 Bonita Springs FL 34135 Fort Myers FL 33908-3600 10-1516 (239) 489-9140 27200 Imperial Pkwy 08 27200 Imperial Pkwy 16 9639 2430 Diplomat Pkwy Cape Coral FL 33909 Bonita Springs 34135 Bonita Springs FL 34135 0875350 Glades, Hardy, Highlands, Hendry, Lee & Polk 10/17/05 (10/17/05) 101 W C Owens Ave 00 Clewiston FL 33440 (Hardy, Highlands & Polk Counties added 9470 HealthPark Cir 16 7431 06/10/06 – CON 9853) Fort Myers FL 33908 13821 N Cleveland Ave Ft Myers FL 33903
3511B Martin Luther King Blvd Ft Myers FL 33916
2668 Winkler Ave Ft Myers FL 33908
475 E Cowboy Way LaBelle FL 33935
1525 Lakeland Hills Blvd Lakeland FL 33805
25 Homestead Rd, Unit 35 LeHigh Acres FL 33936.
State Rte 78 W Okeechobee FL 34974
4840 Sun 'N Lake Boulevard Sebring FL 33872
324 S Dix Ave Ste D Wauchula FL 33873 08 5028096 TideWell Hospice and Palliative Care, Inc. 12050 N Access Rd 07 5957 Rand Blvd (03/06/03) 06 9503 1751 Mound Street exp 10/31 5955 Rand Blvd Port Charlotte FL 33981 Sarasota FL 34238 06 9697 Sarasota FL 34236 Sarasota FL 34238-5160 08/31/06 (9/20/04) 10-1521 (941) 923-5822, 921-5813 fax 06 9698 220 Wexford Blvd Venice FL 34293 919 N Arcadia Ave 08 210 Wexford Blvd 0875279 Charlotte, DeSoto, Manatee & Sarasota Arcadia FL 34265 Venice FL 34293 (01/04/05) 3355 26th St W 00 (12/26/07 survey 06 9690 Bradenton FL 34205 (FKA Hospice of Southwest Florida, Inc.) scheduled) 2504 34th Ave 08 N/A Bradenton FL 34205 6310 Capital Dr Ste 100 02/16/05 conversion Bradenton FL 34202 08/31/06-increase to 14 4151 37th St E 06 9691 Palmetto FL 34221 4151 37th St E Palmetto FL 34221 1144 Veronica St (2/16/05) 06 9694 Port Charlotte FL 33952
1158 Veronica St 12034 N Access Rd Port Charlotte FL 33952 (12) N/A Port Charlotte FL 33981 06/27/05 conversion 207 E Magnolia St Revised January 16, 2008 Page 10 of 15 (04/14/06 need for survey) Arcadia FL 34266
Revised January 16, 2008 Page 11 of 15 A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main s s d office) 09 5011096 Hospice By The Sea, Inc. None 00 1531 W Palmetto Park Rd 04 6042 exp 05/31 1531 W Palmetto Park Rd Boca Raton FL 33486 12 4085 Boca Raton FL 33486-3307 06/25/07 increase to 30 09 8771 10-1504 (561) 395-5031 05 N/A
0875295 Broward & Palm Beach 00 09 50210961 The Hospice of Martin & St. Lucie, Inc. None 00 1000 SE Ruhunke St 08 8445 3543 Hwy 441 exp 08/31 1201 SE Indian St Stuart FL 34997 Okeechobee FL 34975 Stuart FL 34997-5688 03/21/05 conversion 08 9796 10-1510 (772) 403-4500 Subdistrict 9B (08) 9797 0875147 Martin, Okeechobee & St. Lucie (04/14/06 need for survey) 00 09 5026096 Hospice of Okeechobee, Inc. 411 SE 4th St 12 None 00 N/A None exp 04/30 411 SE 4th St Okeechobee FL 34974 Okeechobee FL 34974-4437 07/25/06 10-1527 (863) 467-2321
0875384 Martin, Okeechobee & St. Lucie 00 09 5027096 Hospice of Palm Beach County, Inc. None 00 5300 East Ave 24 3693 6413 Congress Ave Ste 130 exp 05/31 5300 East Ave West Palm Beach FL 12 9519 Boca Raton FL 33487 West Palm Beach FL 33407-2387 10-1512 (561) 848-5200 1901 S Congress Ave Ste 200 Boynton Beach FL 33426 0875163 Palm Beach 00 1630 S Congress Ave Ste 102 Palm Springs FL 33461
4460 Medical Center Way West Palm Beach FL 33407 09 5033096 Hospice of the Treasure Coast, Inc. 5090 Dunn Rd 04 5090 Dunn Rd 12 9743 2500 Virginia Ave Ste 202 exp 05/31 1201 SE Indian St Ft Pierce FL 34981 Ft Pierce FL 34981 Fort Pierce FL 34981 Stuart FL 34997-5688 07/06/07 07/06/07 10-1517 (772) 465-0504 (conversion request (04) N/A 10360 S Federal Hwy 08/15/07) Port St Lucie FL 34952 0875287 Martin, Okeechobee & St. Lucie 00 09 50370967 Vitas Healthcare Corporation of Florida None 00 None 00 N/A 5420 NW 33rd Ave Ste 100 exp 11/12 1901 Congress Ave Ste 420 Ft Lauderdale FL 33309 Boynton Beach Fl 33426-6588 10-1544 (561) 364-1479, (877) 848-2798
1500139 Broward, Palm Beach 00 (Merged Broward County 05/01/07) 09 5038096 VNA Hospice of Indian River County, Inc. 00 901 37th St 12 9457 1331 N Central Ave exp 09/30 1110 35th Ln Vero Beach FL 32960 Sebastian FL 32958 Vero Beach FL 32960-4003 09/25/01 conversion Revised January 16, 2008 Page 12 of 15 10-1529 (772) 978-5577
0870005 Indian River 00
Revised January 16, 2008 Page 13 of 15 A License Hospice Residential Units Bed Inpatient Facilities Bed CON Branches O M’care/cai Counties Served (County of main s s d office) 10 5012096 HospiceCare of Southeast Florida, Inc. 1727 SE 4th Ave 08 None 00 N/A 8405 NW 53rd St Ste A200 exp 12/31 309 SE 18th St Ft Lauderdale FL 33316 Doral FL 33166 Ft Lauderdale FL 33316-2817 10-1502 (954) 467-7423 91256 Overseas Highway Tavernier FL 33070 0874736 Broward, Dade & Monroe 00 (FKA Hospice Care of Broward County, Inc.) 10 5017096 Hospice of Gold Coast Home Health Services None 00 None 00 N/A None exp 10/31 2101 W Commercial Blvd Ste 4500 Ft Lauderdale FL 33309-3005 10-1509 (954) 785-2990
1500007 Broward 00 11 5004095 Catholic Hospice, Inc. None 00 St. Catherine’s Rehab (13) 9863 9415 Sunset Dr Ste 111 exp 11/30 14875 NW 77th Ave Ste 100 Hospital West Miami FL 33173 Miami Lakes FL 33014-2568 Hialeah Gardens FL 10-1530 (305) 822-2380 (04/14/06 need for survey)
0875694 Broward, Dade & Monroe 00 (Broward County added 01/14/08 – CON 9928) 11 50370965 Douglas Gardens Hospice, Inc. None 00 None 00 N/A None exp 01/01 5200 NE 2nd Ave Miami FL 33137-2706 10-1543 (305) 762-3883
1500112 Dade & Monroe 00 11 5013096 Hospice Care of South Florida None 00 None 00 N/A None exp 06/30 7270 NW 12th St PH 6 Miami FL 33126-1929 10-1536 (305) 591-1606
1500015 Dade 00 11 50310951 Hospice of the Florida Keys, Inc. None 00 None 00 N/A 92001 U S Hwy 1 exp 11/30 1319 William St Tavernier FL 33070 Key West FL 33040-4736 10-1524 (305) 294-8812
0875252 Monroe 00 11 50370970 Odyssey HealthCare None 00 None 00 N/A None exp 03/16 5805 Blue Lagoon Dr Ste 170 Miami FL 33126-2005 10-1548 (786) 388-1400
150019800 Dade & Monroe (FKA: Hospice of the Palm Coast in Miami)
Revised January 16, 2008 Page 14 of 15 11 5036096 Vitas Healthcare Corporation of Florida None 00 None 00 N/A 18001 Old Cutler Rd Ste 454 exp 07/31 16800 NW 2nd Ave Ste 400 Palmetto Bay FL 33157 North Miami Beach FL 33169-5549 10-1506 (305) 654-3718
0872466 Dade & Monroe 00
Revised January 16, 2008 Page 15 of 15