Active NPI
Affinity Healthcare Solutions Skilled Care LLC
- Home Health Agency
- Jenkintown, PA
National Provider Identifier
1265044242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AFFINITY HEALTHCARE SOLUTIONS SKILLED CARE LLC
- Practice address
- 469 Johnson St Ste 100
Jenkintown, PA 19046-2701 - Phone
- (215) 758-2748
- NPI assigned
- Aug 20, 2020
- Last updated
- Apr 16, 2024
- 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
- Guelmana Rochelin
- Title
- Owner/Treasurer
- Phone
- (215) 758-2748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
469 Johnson St Ste 100
Jenkintown, PA 19046-2701
Mailing address
469 Johnson St Ste 100
Jenkintown, PA 19046-2701
Phone (215) 758-2748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210713000330 | PA | Part A Provider - Home Health Agency | 1254733355 | Practice locations: Jenkintown, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265044242. Details of each certification follow.
Home health agency certification: CCN 398358
- Legal name
- AFFINITY HEALTHCARE SOLUTIONS SKILLED CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 17, 2023
- Last certification
- Oct 12, 2023
- Organization structure
- LLC
- Incorporated
- Aug 6, 2020 in PA
- Enrollment address
- 469 Johnson St
Ste 100
Jenkintown, PA 19046-2701
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Affinity Healthcare Solutions Skilled Care LLC
- Ownership
- -
- Certified
- Nov 17, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1550 Old York Rd
Ste 2
Abington, PA 19001
Phone (215) 758-2748
469 Johnson St
Ste 100
Jenkintown, PA 19046
Phone (215) 758-2748
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Reanne Rochelin Bland | 5% Or Greater Direct Ownership Interest | Aug 6, 2020 | 10% |
| Corporate Officer | Aug 6, 2020 | ||
| Corporate Director | Aug 6, 2020 | ||
| W-2 Managing Employee | Aug 6, 2020 | ||
| Operational/Managerial Control | Aug 6, 2020 | ||
| Guelmana Rochelin | 5% Or Greater Direct Ownership Interest | Aug 6, 2020 | 70% |
| Corporate Officer | Aug 6, 2020 | ||
| Corporate Director | Aug 6, 2020 | ||
| W-2 Managing Employee | Aug 6, 2020 | ||
| Operational/Managerial Control | Aug 6, 2020 | ||
| Cyndie Rochelin-Robinson | 5% Or Greater Direct Ownership Interest | Aug 6, 2020 | 20% |
| Corporate Officer | Aug 6, 2020 | ||
| Corporate Director | Aug 6, 2020 | ||
| W-2 Managing Employee | Aug 6, 2020 | ||
| Operational/Managerial Control | Aug 6, 2020 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1265044242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 JOHNSON ST STE 100",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462701",
"telephone_number": "215-758-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 JOHNSON ST STE 100",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462701",
"telephone_number": "215-758-2748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HEALTHCARE SOLUTIONS SKILLED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-20",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "ROCHELIN",
"authorized_official_first_name": "GUELMANA",
"authorized_official_title_or_position": "OWNER/TREASURER",
"authorized_official_telephone_number": "215-758-2748"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.