A Blessing Hand Home Health LLC
Organization Active NPI Home Health Agency · Scranton, PA
NPI 1003399841 · NPPES record last updated Sep 7, 2018
Key facts
- NPI
- 1003399841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- A BLESSING HAND HOME HEALTH LLC
- Practice address
- 220 N Main Ave
Scranton, PA 18504-3304 - Phone
- (570) 904-4142
- Fax
- (570) 341-5092
- NPI assigned
- Sep 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dorothy Elizabeth Minelli
- Title
- Owner/Pres
- Phone
- (570) 904-4142
Practitioners 5
-
David B Brock, OTR/L
-
Stephen George Svetovich, OTR/L
-
John P Wall, MSOTR'L
-
Sarah Jean Zedar, PT, DPT
Affiliated clinicians 2
-
Guy Michael Fasciana, M.D.
-
Barry A Minora, MD
Medicare Care Compare: Home health agency
- Listed as
- A Blessing Hand Home Health, LLC
- Ownership
- Proprietary
- Certified
- Jan 13, 2021
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 398321
- Legal name
- A BLESSING HAND HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 13, 2021
- Last certification
- Jan 13, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 28, 2018 in PA
- Enrollment address
- 220 N Main Ave
Scranton, PA 18504-3304
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Buddy William Minelli |
5% Or Greater Direct Ownership Interest |
Oct 1, 2021 | 25% |
| Frank Minelli |
Corporate Officer |
Dec 4, 2018 | |
| Jacqueline Sweigart |
5% Or Greater Direct Ownership Interest |
Oct 1, 2021 | 25% |
| Dorothy Minelli |
5% Or Greater Direct Ownership Interest |
Oct 1, 2021 | 50% |
| W-2 Managing Employee |
Aug 28, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190221002539 | PA | Part a Provider - Home Health Agency | 0345589156 | Practice locations: Scranton, PA |
National Provider Directory
Locations
220 N Main Ave
Scranton, PA 18504
Phone (570) 341-5012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
220 N Main Ave
Scranton, PA 18504-3304
Mailing address
220 N Main Ave
Scranton, PA 18504-3304
Phone (570) 904-4142
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All providers in Scranton, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.