Organization Active NPI

Efcc Acquisition Corp

  • Home Health Agency
  • Pittsburgh, PA
National Provider Identifier
1285744540
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
77430500 Issued in PA
Legal business name
EFCC ACQUISITION CORP
Practice address
3424 William Penn Hwy
Suite 220
Pittsburgh, PA 15235-5444
Phone
(412) 241-7292
Fax
(412) 241-7288
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 77430500 PA Primary

Addresses

Primary practice location

3424 William Penn Hwy
Suite 220
Pittsburgh, PA 15235-5444

Mailing address

115 Broadhollow Rd
275
Melville, NY 11747-4992
Phone (631) 223-0908

Other identifiers 1

IdentifierTypeStateIssuer
1007772400005MedicaidPA

Other names 1

  • Extended Family Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021104000011 PA Part A Provider - Home Health Agency 8022926591 Practice locations: Pittsburgh, PA

Home health agency certification: CCN 397743

Legal name
EFCC ACQUISITION CORP
Doing business as
EXTENDED FAMILY CARE-PITTSBURGH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 19, 2000
Last certification
Mar 19, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1996 in NY
Enrollment address
3424 William Penn Hwy
Ste 220
Pittsburgh, PA 15235-5444

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 397743
Ownership
Proprietary
Certified
Jul 19, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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

3424 William Penn Hwy
Ste 220
Pittsburgh, PA 15235
Phone (412) 241-7292

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
Nicole Kelly Individual W-2 Managing EmployeeAdministrator Sep 27, 2017
Star Multi Care Holding Corp Organization, Mellville, 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 InterestCeo/President Apr 16, 2008 52.7%
Corporate OfficerCeo/President Dec 31, 1996
Corporate DirectorCeo/President Jul 21, 2009
Operational/Managerial ControlCeo/President Dec 20, 1986
Matthew Solof Individual 5% Or Greater Indirect Ownership InterestCo-Owner Apr 16, 2008 47.3%

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": "1455580800000",
    "number": "1285744540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADHOLLOW RD",
            "address_2": "275",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474992",
            "telephone_number": "631-223-0908",
            "fax_number": "631-427-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 WILLIAM PENN HWY",
            "address_2": "SUITE 220",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355444",
            "telephone_number": "412-241-7292",
            "fax_number": "412-241-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFCC ACQUISITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-02-16",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77430500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007772400005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Family Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.