Active NPI
Nursing Home Care Management Inc.,
Doing business as Prestige Home Care Agency
- Home Health Agency
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1000077100005
- Legal business name
- NURSING HOME CARE MANAGEMENT INC.,
- Doing business as
- Prestige Home Care Agency
- Practice address
- 10890 Bustleton Ave
Ste. 211
Philadelphia, PA 19116-3313 - Phone
- (215) 677-3299
- Fax
- (215) 677-9811
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Volha Volosevich, LPC
- Title
- Administrator
- Phone
- (215) 677-3299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1000077100005 | PA | Primary |
| Home Health Agency | 251E00000X | 1000077100006 | PA | |
| Home Health Agency | 251E00000X | 397658 | PA | |
| Home Health Agency | 251E00000X | 1000077100002 | PA | |
| Home Health Agency | 251E00000X | 1000077100011 | PA | |
| Home Health Agency | 251E00000X | 1000077100010 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 1000077100013 | PA | |
| Community/Behavioral Health Agency | 251S00000X | 1000077100001 | PA |
Addresses
Primary practice location
10890 Bustleton Ave
Ste. 211
Philadelphia, PA 19116-3313
Mailing address
10890 Bustleton Ave
Ste. 211
Philadelphia, PA 19116-3313
Phone (215) 677-3299
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000077100011 | Medicaid | PA | |
| 1000077100015 | Medicaid | PA | |
| 1000077100010 | Medicaid | PA | |
| 1000077100006 | Medicaid | PA | |
| 1000077100014 | Medicaid | PA | |
| 1000077100012 | Medicaid | PA | |
| 1000077100001 | Medicaid | PA | |
| 1000077100005 | Medicaid | PA | |
| 1000077100002 | Medicaid | PA | |
| 1000077100013 | Medicaid | PA |
Other names 1
- Prestige Home Care Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 3
Home health agency certification: CCN 397658
- Legal name
- NURSING HOME CARE MANAGEMENT INC.,
- Doing business as
- PRESTIGE HOME CARE AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 5, 1996
- Last certification
- Oct 19, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 8, 1995 in PA
- Enrollment address
- 10890 Bustleton Ave
Ste 211
Philadelphia, PA 19116-3366
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Prestige Home Care Agency
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 5, 1996
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0938826 | Prestige Home Care Agency | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
10890 Bustleton Ave
Ste 211
Philadelphia, PA 19116
Phone (215) 383-0797
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander Dorfman | Corporate Officer | Jan 1, 1996 | |
| Volha Volosevich | W-2 Managing Employee | Oct 13, 2019 | |
| Iren Goroshovsky | 5% Or Greater Direct Ownership Interest | Dec 12, 2022 | 50% |
| Alla Dorfman | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 50% |
| Corporate Director | Jan 1, 1996 | ||
| Tanya Chumak | W-2 Managing Employee | Jan 1, 2013 | |
| Dayana Emgushova | W-2 Managing Employee | Jan 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1831777069
-
- Health Educator
- Philadelphia, PA
- NPI 1063898047
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Acute Care Nurse Practitioner
- Philadelphia, PA
- NPI 1780049445
Home health agency
-
- Hematology & Oncology Physician
- Camden, NJ
- NPI 1912153792
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1063426831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10890 BUSTLETON AVE",
"address_2": "STE. 211",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163313",
"telephone_number": "215-677-3299",
"fax_number": "215-677-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10890 BUSTLETON AVE",
"address_2": "STE. 211",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163313",
"telephone_number": "215-677-3299",
"fax_number": "215-677-9811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSING HOME CARE MANAGEMENT INC.,",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "VOLOSEVICH",
"authorized_official_first_name": "VOLHA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "215-677-3299",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1000077100005",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1000077100006",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "397658",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1000077100002",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1000077100011",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "1000077100010",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "1000077100013",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "1000077100001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100011",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100015",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100010",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100014",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100012",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000077100013",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prestige Home Care Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prestige Home Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.