NPIMap

Organization Active NPI

American Home Health Services, Inc

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1114279536
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN HOME HEALTH SERVICES, INC
Practice address
1837 S Mesa Dr Ste C201
Mesa, AZ 85210-6243
Phone
(480) 696-4980
Fax
(480) 686-8263
NPI assigned
Oct 9, 2012
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yanelis Gonzalez
Title
Administrator
Phone
(480) 696-4980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1837 S Mesa Dr Ste C201
Mesa, AZ 85210-6243

Mailing address

1837 S Mesa Dr Ste C201
Mesa, AZ 85210-6243
Phone (480) 696-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130321000588 AZ Part A Provider - Home Health Agency 8729223714 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114279536. Details of each certification follow.

Home health agency certification: CCN 037426

Legal name
AMERICAN HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 2013
Last certification
Oct 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 6, 2012 in AZ
Enrollment address
1837 S Mesa Dr
Ste C201
Mesa, AZ 85210-6243

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Home Health Services, Inc.CCN 037426 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 19, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2060217American Home Health Services, Inc1837 S Mesa Dr Ste C201, Mesa, AZ 85210Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

1837 S Mesa Dr
Ste C201
Mesa, AZ 85210
Phone (480) 696-4980

2045 S Vineyard
Ste 223
Mesa, AZ 85210
Phone (480) 646-3035

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yuleysi de Jongh Individual 5% Or Greater Indirect Ownership Interest May 25, 2021 100%
Corporate OfficerPresident Sep 6, 2012 50%
Corporate DirectorPresident May 25, 2021 100%
W-2 Managing EmployeePresident May 25, 2021 100%
Health Acquisition Group LLC Organization, Miami, FL Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest May 25, 2021 100%
Operational/Managerial Control May 25, 2021 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 17

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1114279536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE C201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106243",
            "telephone_number": "480-696-4980",
            "fax_number": "480-686-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE C201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106243",
            "telephone_number": "480-696-4980",
            "fax_number": "480-686-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANELIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-696-4980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.