Organization Active NPI

Affinity Healthcare Solutions Skilled Care LLC

  • Home Health Agency
  • Jenkintown, PA
National Provider Identifier
1265044242
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 398358 · All quality measures
Ownership
-
Certified
Nov 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Reanne Rochelin Bland Individual 5% Or Greater Direct Ownership Interest Aug 6, 2020 10%
Corporate OfficerOwner/VP Aug 6, 2020
Corporate DirectorOwner/VP Aug 6, 2020
W-2 Managing EmployeeOwner/VP Aug 6, 2020
Operational/Managerial ControlOwner/VP Aug 6, 2020
Guelmana Rochelin Individual 5% Or Greater Direct Ownership Interest Aug 6, 2020 70%
Corporate OfficerOwner/Secretary Aug 6, 2020
Corporate DirectorOwner/Secretary Aug 6, 2020
W-2 Managing EmployeeOwner/Secretary Aug 6, 2020
Operational/Managerial ControlOwner/Secretary Aug 6, 2020
Cyndie Rochelin-Robinson Individual 5% Or Greater Direct Ownership Interest Aug 6, 2020 20%
Corporate OfficerOwner/President Aug 6, 2020
Corporate DirectorOwner/President Aug 6, 2020
W-2 Managing EmployeeOwner/President Aug 6, 2020
Operational/Managerial ControlOwner/President 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

Verify at the official NPI Registry.