Active NPI
Affordable Priority Home Health Services LLC
- Home Health Agency
- Roslindale, MA
National Provider Identifier
1215312590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC
- Practice address
- 43 Cummins Hwy
Roslindale, MA 02131-2523 - Phone
- (617) 230-6824
- Fax
- (617) 600-3555
- NPI assigned
- Jul 28, 2015
- 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
- Mr. Emmanuel M Fombe
- Title
- Director
- Phone
- (617) 230-6824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
43 Cummins Hwy
Roslindale, MA 02131-2523
Mailing address
43 Cummins Hwy
Suite 3
Roslindale, MA 02131-2523
Phone (617) 230-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160719000313 | MA | Part A Provider - Home Health Agency | 5496048126 | Practice locations: Roslindale, MA |
Home health agency certification: CCN 227733
- Legal name
- AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 27, 2019
- Last certification
- Nov 27, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 19, 2015 in MA
- Enrollment address
- 43 Cummins Hwy
Ste 3
Roslindale, MA 02131-2523
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Affordable Priority Home Health Services LLC
- Ownership
- Proprietary
- Certified
- Nov 27, 2019
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
National Provider Directory
National Provider DirectoryLocations
43 Cummins Hwy
Ste 3
Roslindale, MA 02131
Phone (617) 230-6824
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gaston Poufong | 5% Or Greater Direct Ownership Interest | Sep 3, 2015 | 25% |
| Corporate Officer | Sep 3, 2015 | ||
| Corporate Director | Sep 3, 2016 | ||
| W-2 Managing Employee | Sep 3, 2016 | ||
| Operational/Managerial Control | Sep 3, 2016 | ||
| Emmanuel M Fombe | 5% Or Greater Direct Ownership Interest | Sep 3, 2015 | 75% |
| Corporate Officer | Sep 3, 2015 | ||
| Corporate Director | Sep 3, 2015 | ||
| Operational/Managerial Control | Sep 3, 2016 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1215312590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CUMMINS HWY",
"address_2": "SUITE 3",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021312523",
"telephone_number": "617-230-6824",
"fax_number": "617-600-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CUMMINS HWY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021312523",
"telephone_number": "617-230-6824",
"fax_number": "617-600-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE PRIORITY HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "FOMBE",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "617-230-6824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.