Organization Active NPI

Efcc Acquisition Corp

  • Home Health Agency
  • Lancaster, PA
National Provider Identifier
1285744532
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
77440500 Issued in PA
Legal business name
EFCC ACQUISITION CORP
Practice address
1860 Charter LN
Suite 208
Lancaster, PA 17601-6730
Phone
(717) 391-6363
Fax
(717) 391-6367
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen Sternbach
Title
Ceo
Phone
(631) 423-6689

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN188617L PA
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X PN260438L PA
Home Health Agency 251E00000X 77440500 PA Primary

Addresses

Primary practice location

1860 Charter LN
Suite 208
Lancaster, PA 17601-6730

Mailing address

33 Walt Whitman Rd
Suite 302
Huntington Station, NY 11746-3640
Phone (631) 423-6689

Other identifiers 1

IdentifierTypeStateIssuer
1007772400008MedicaidPA

Other names 1

  • Extended Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001092 PA Part A Provider - Home Health Agency 8022926591 Practice locations: Lancaster, PA

Home health agency certification: CCN 397744

Legal name
EFCC ACQUISITION CORP
Doing business as
EXTENDED FAMILY CARE-LANCASTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 2000
Last certification
Apr 29, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1996 in NY
Enrollment address
1860 Charter LN
# 208
Lancaster, PA 17601-6730

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Extended Family CareCCN 397744
Ownership
Proprietary
Certified
Aug 11, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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
39D1005980Extended Family Care1860 Charter Lane #208, Lancaster, PA 17601Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Efcc Acquisition Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1251 S Cedar Crest Blvd
#112B
Allentown, PA 18103
Phone (610) 432-6766

1860 Charter Ln
Ste 208
Lancaster, PA 17601
Phone (717) 391-6363

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Star Multi Care Holding Corp Organization, Melville, NY Corporation, For-profit 5% Or Greater Direct Ownership Interest Jul 21, 2009 100%
Debra R Kelly Individual W-2 Managing EmployeeManager Corporate Administration Nov 30, 2016
Stephen B Sternbach Individual 5% Or Greater Indirect Ownership InterestPresident Ceo Apr 16, 2008 52.7%
Corporate OfficerPresident & Ceo Dec 31, 1996
Corporate DirectorPresident Ceo Dec 31, 1996
Operational/Managerial ControlPresident/Ceo Dec 20, 1986
Matthew Solof Individual 5% Or Greater Indirect Ownership InterestCo-Owner Apr 16, 2008 47.3%
Evelyn Cruz Individual W-2 Managing EmployeeAd; Jan 10, 2024

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1285744532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD",
            "address_2": "SUITE 302",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-423-6689",
            "fax_number": "631-427-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHARTER LN",
            "address_2": "SUITE 208",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016730",
            "telephone_number": "717-391-6363",
            "fax_number": "717-391-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFCC ACQUISITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "STERNBACH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-423-6689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN188617L",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN260438L",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77440500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007772400008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.