NPIMap

Organization Active NPI

Aag in Home Care LLC

  • Home Health Agency
  • Whitehall, PA
National Provider Identifier
1205196334
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04930501 Issued in PA
Legal business name
AAG IN HOME CARE LLC
Practice address
1541 Alta Dr Ste 102
Whitehall, PA 18052-5632
Phone
(484) 353-1210
NPI assigned
May 23, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Andrew Kay
Title
Owner, President and Administrator
Phone
(484) 353-1210

Affiliated clinicians 12

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifespring in Home Care of Eastern PACCN 398200
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 5, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
39D2046240Aag in Home Care LLC- Dba/Lifespring in Home Care1541 Alta Drive, Suite 102, Whitehall, PA 18052Certificate of waiverAug 28, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171020002330 PA Part a Provider - Home Health Agency 4385910215 Practice locations: Whitehall, PA

Home health agency certification: CCN 398200

Medicare enrollment files
Legal name
AAG IN HOME CARE LLC
Doing business as
LIFESPRING IN HOME CARE OF EASTERN PA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 2013
Last certification
Jul 8, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 14, 2017 in PA
Enrollment address
1541 Alta Dr
Ste 102
Whitehall, PA 18052-5632

All disclosed owners & managing parties 6

Medicare enrollment files

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

NameRoleSinceShare
CBC National Bank Organization, Lake City, FL Created for acquisition, Financial institution, For-profit 5% Or Greater Mortgage Interest Aug 1, 2017 18%
Andrew M Kay Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 88.08%
Corporate OfficerPresident and Administrator Aug 1, 2017 100%
Operational/Managerial ControlPresident & Managing Member Aug 1, 2017
Nancy Stahler Individual W-2 Managing EmployeeDirector of Clinical & Professio Aug 1, 2017
Aag in Home Care Inc Organization, Allendale, NJ Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2017 100%
Anne L Kay Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 11.98%
Corporate OfficerVP Aug 1, 2017
W-2 Managing EmployeeVP Aug 1, 2017
Aag in Home Care Inc Retirement Plan Organization, Allendale, NJ 5% Or Greater Indirect Ownership Interest Aug 1, 2017 92.2%

Change-of-ownership history 2

Medicare enrollment files
DateEventCounterparty
Aug 1, 2017 Change of OwnershipThis provider was the buyer Arcadia Visiting Nurses LLCCCN 398200, PA, NPI 1205196334
Aug 1, 2017 Change of OwnershipThis provider was the seller Lifespring in Home Care of Eastern PACCN 398200, PA, NPI 1205196334

National Provider Directory

National Provider Directory

Locations

1541 Alta Dr
Ste 102
Whitehall, PA 18052
Phone (484) 353-1210

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04930501 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1541 Alta Dr Ste 102
Whitehall, PA 18052-5632

Mailing address

104 Schuyler Rd
Allendale, NJ 07401-1837
Phone (917) 846-9067

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
103403459-0001MedicaidPA

Other names 1

NPPES NPI Registry
  • LifeSpring In Home Care of Eastern Pa Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2020.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1205196334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SCHUYLER RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011837",
            "telephone_number": "917-846-9067",
            "fax_number": "866-459-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ALTA DR STE 102",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525632",
            "telephone_number": "484-353-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAG IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER, PRESIDENT AND ADMINISTRATOR",
        "authorized_official_telephone_number": "484-353-1210"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04930501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103403459-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSpring In Home Care of Eastern Pa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeSpring In Home Care of Eastern Pa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.