Active NPI
Atm Home Health Care Services LLC
- Home Health Agency
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ATM HOME HEALTH CARE SERVICES LLC
- Doing business as
- Atm Home Health Care Services LLC
- Practice address
- 1809 W Oregon Ave Ste 203
Philadelphia, PA 19145-3700 - Phone
- (267) 239-5154
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Organization subpart
- Yes
- Parent organization
- ATM HOMECARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joy Santos-Khalil
- Title
- Cfo
- Phone
- (713) 280-6967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1809 W Oregon Ave Ste 203
Philadelphia, PA 19145-3700
Mailing address
1809 W Oregon Ave Ste 203
Philadelphia, PA 19145-3700
Phone (267) 239-5154
Other names 1
- ATM HOME HEALTH CARE SERVICES LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230719000412 | PA | Part A Provider - Home Health Agency | 6608236930 | Practice locations: Philadelphia, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225721012. Details of each certification follow.
Home health agency certification: CCN 398359
- Legal name
- ATM HOME HEALTH CARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 31, 2024
- Last certification
- Jan 11, 2024
- Organization structure
- LLC
- Incorporated
- Mar 8, 2023 in PA
- Enrollment address
- 1809 W Oregon Ave
Ste 203
Philadelphia, PA 19145-3700
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Atm Home Healthcare Services, LLC
- Ownership
- -
- Certified
- Jan 31, 2024
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 39D2285426 | Atm Home Health Care Services, LLC | Certificate of waiver | Jul 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- Atm Homecare LLC
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 |
|---|---|---|---|
| Aurora Tieng | 5% Or Greater Direct Ownership Interest | Mar 8, 2023 | 100% |
| Jizan Beltran | W-2 Managing Employee | Jan 16, 2023 |
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Philadelphia, PA
- NPI 1669181632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1225721012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 W OREGON AVE STE 203",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453700",
"telephone_number": "267-239-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 W OREGON AVE STE 203",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453700",
"telephone_number": "267-239-5154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATM HOME HEALTH CARE SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATM HOMECARE, LLC",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "SANTOS-KHALIL",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-280-6967"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATM HOME HEALTH CARE SERVICES LLC",
"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 May 30, 2023; 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.