Dual-purpose AHCA-licensed Skilled Home Health Agency (#HHA) / Nurse Registry (#NR) dispatch network for homebound Union County seniors AND immediate southern Santa Fe River / SR-121 South Assisted Living & Memory Care corridor serving Worthington Springs (32697) and Lake Butler (32054): (1) AHCA-Licensed Skilled Home Health & Nurse Registries Serving Union County (AHCA Area 3): Because zero Medicare-certified Home Health Agencies maintain a physical corporate office inside 32054, 32083, or 32697, physician-ordered in-home skilled nursing (wound care, IV antibiotics, ostomy/catheter care), physical therapy, occupational therapy, speech therapy, and home health aides are dispatched into Union County by Legacy Home Health Care, Inc. (603 E Call St, Starke, FL 32091 — 14 miles SE on SR-100, (904) 964-3712, and HQ at 7384 SR 21, Keystone Heights; AHCA HHA License #299994720, CMS NPI #1871152272, Sunbiz Doc# P17000063340, EIN 82-2305038), UF Health Shands HomeCare (3515 NW 98th St, Gainesville, FL 32606, (352) 265-0789 / 1-800-890-6236, AHCA HHA License #20460096, CMS CCN #107306, NPI #1760425052), On Point Home Health LLC (1457 SE 101st St, Trenton, (352) 658-8036, AHCA HHA #299994976, File #19968128, NPI #1528606977, Sunbiz #L19000156771), and AHCA Nurse Registry Gracefully Meek Home Care LLC ((352) 215-3179, AHCA #NR30212823, NPI #1881320430, Sunbiz #L22000169501); and (2) SR-121 South & Santa Fe River Assisted Living / Memory Care Corridor (14–22 Miles South/SW of Worthington Springs & Lake Butler): 72-bed Plantation Oaks Assisted Living and Memory Care in High Springs (23301 NW 186th Ave, High Springs, FL 32643, (386) 454-0801, AHCA License #AL11967, File #11968014), 24-bed family-owned The Mayflower Assisted Living in High Springs (19880 N US Hwy 441, High Springs, FL 32643, (386) 454-7612, https://mayfloweralf.com, AHCA License #AL9545, File #11964997), 60-bed Trustwell Living at Hunters Crossing Place directly down SR-121 in NW Gainesville (4601 NW 53rd Ave, Gainesville, FL 32653, (352) 338-7500, AHCA License #AL9004, File #11964436, NPI #1699222745, Limited Nursing Services [LNS] specialty license), and 14-bed RN-operated Greenoak Villa of Gainesville ALF / Annie's House (1201 NW 39th Ave, Gainesville, FL 32609, (352) 505-3556, AHCA License #AL13015, File #11969195, NPI #1356096440 — contracted for Florida SMMC LTC Medicaid Waiver and ACS) (acceptsMedicaid: true).
Official Verification Sources: Legacy Home Health Care, Inc. — Official Website (603 E Call St, Starke — AHCA #HHA299994720); The Mayflower Assisted Living (#AL9545) & Plantation Oaks (#AL11967) — High Springs Corridor; Greenoak Villa of Gainesville ALF — Medicaid Waiver Assisted Living (#AL13015)
Issuer: Florida Agency for Health Care Administration (AHCA) & U.S. CMS
Notes: Verified 2026-10-26: Documents 0 in-county HHA headquarters inside Union County and connects Lake Butler (32054), Raiford (32083), and Worthington Springs (32697) seniors with Legacy Home Health Care, Inc. (603 E Call St, Starke, (904) 964-3712, AHCA #299994720, NPI #1871152272, Sunbiz #P17000063340), UF Health Shands HomeCare ((352) 265-0789, AHCA #20460096, CCN #107306, NPI #1760425052), On Point Home Health (#299994976, NPI #1528606977), and Gracefully Meek Home Care Nurse Registry (#NR30212823, NPI #1881320430) (acceptsMedicaid: true).
Issuer: Florida Agency for Health Care Administration (AHCA)
Notes: Verified active AHCA Assisted Living licenses along the Santa Fe River / SR-121 South corridor: 72-bed Plantation Oaks Assisted Living and Memory Care (#AL11967) and 24-bed The Mayflower Assisted Living (#AL9545) in High Springs (32643), 60-bed LNS-licensed Trustwell Living at Hunters Crossing Place (#AL9004, NPI #1699222745) on SR-121 in NW Gainesville, and 14-bed Medicaid Waiver-contracted Greenoak Villa of Gainesville ALF (#AL13015, NPI #1356096440) (acceptsMedicaid: true).
Factual details and direct answers about Skilled Home Health & Nurse Registry Network (Legacy Home Health #HHA299994720 & UF Health Shands HomeCare) + SR-121 South / Santa Fe River ALF & Memory Care Corridor (High Springs & Gainesville)'s services, licensing, and credentials.
Which Medicare-certified Home Health Agencies send nurses and physical therapists to homes in Lake Butler, Raiford, and Worthington Springs?
With a physician's order following a stay at Lake Butler Hospital (#4290) or a Gainesville/Lake City medical center, homebound Union County seniors receive 100% Medicare-covered in-home skilled nursing, physical therapy, occupational therapy, and speech therapy from Legacy Home Health Care, Inc. (located 14 miles away at 603 E Call St in Starke, (904) 964-3712, AHCA #HHA299994720, NPI #1871152272), UF Health Shands HomeCare ((352) 265-0789, AHCA #HHA20460096, CCN #107306, NPI #1760425052), and On Point Home Health LLC (#HHA299994976, (352) 658-8036), while CNA/HHA personal care and dementia respite are also available via Gracefully Meek Home Care Nurse Registry (#NR30212823, (352) 215-3179) (acceptsMedicaid: true).
What assisted living and memory care communities are located just south of Worthington Springs and Lake Butler across the Santa Fe River?
Just 14 to 20 miles south and southwest of Worthington Springs (32697) and Lake Butler (32054) via SR-121 and SR-18/US-441, families can choose from 72-bed Plantation Oaks Assisted Living and Memory Care in High Springs (23301 NW 186th Ave, (386) 454-0801, AHCA #AL11967), 24-bed family-owned The Mayflower Assisted Living in High Springs (19880 N US Hwy 441, (386) 454-7612, AHCA #AL9545), 60-bed Limited Nursing Services (LNS) community Trustwell Living at Hunters Crossing Place directly down SR-121 in NW Gainesville (4601 NW 53rd Ave, (352) 338-7500, AHCA #AL9004), and 14-bed RN-operated Medicaid Waiver provider Greenoak Villa of Gainesville ALF (1201 NW 39th Ave, (352) 505-3556, AHCA #AL13015) (acceptsMedicaid: true).
Connect with complementary legal, financial, and residential providers serving seniors in Worthington Springs and Union County.
Russell A. Wade III, P.A. & Dukes Legal, P.A. — Russell A. 'Russ' Wade III, Esq. & Matthew Aaron Dukes, Esq. (Lake Butler Resident Probate, Estate Planning & Real Property Counsel)
Lake Butler, Union County
(386) 496-9656
DLP Bank (Formerly Community State Bank — Lake Butler In-County Branch & Starke Charter Headquarters)
Lake Butler, Union County
(386) 496-3333
Union County Housing Authority — Public Housing & Senior Apartments (HUD PHA #FL042 — Lake Butler)
Lake Butler, Union County
(386) 496-2047
Expert guidance, benefit eligibility rules, and state protections for older Florida residents and family caregivers.
Lake Butler Hospital (Critical Access Hospital, 25-Bed Skilled Swing-Bed Rehabilitation & 24/7 Emergency Department — Lake Butler)
Lake Butler, Union County
Suwannee River Economic Council, Inc. (SREC) — Union County CCE In-Home Personal Care, ADI Memory Care Respite & Medicaid LTC Waiver Lead Agency (Lake Butler)
Lake Butler, Union County
Haven Hospice — Suwannee Valley (Lake City) & E.T. York (Gainesville) Care Centers + Community Hospice & Palliative Care (Union County 24/7 Hospice Network)
Lake Butler, Union County
SR-100 East Border Skilled Nursing & Assisted Living Hub (Starke / Lawtey — 12–14 Miles SE) — Riverwood Healthcare (#SNF16030961), Windsor Health (#SNF1608096), Young Hearts ALF I & II (#AL10278 / #AL13253) & Naomi Armistead AFCH (#AFCH6906444)
Starke, Union County
Disclaimer: This directory listing is for informational purposes only. Florida Senior Support does not endorse or guarantee the quality of services. Please verify information and services directly with the organization.