Monumental Post Acute Care at Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MONUMENTAL POST ACUTE CARE AT HOME LLC

Doing business as

MPAC at Home

Practice address

4001 Ford Rd
Philadelphia, PA 19131-2833

Phone

(215) 877-4000

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

David Miller

Title

Ceo/Managing Member

Phone

(215) 877-5400

Specialties & licenses 1

Addresses

Other names 1

• MPAC at Home Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295478295. Details of each certification follow.

• CCN 398344 Home health agency · Active · Details

Home health agency certification: CCN 398344

Legal name

MONUMENTAL POST ACUTE CARE AT HOME LLC

Doing business as

MPAC AT HOME

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 17, 2023

Last certification

Mar 9, 2023

Organization structure

LLCProprietary

Incorporated

Mar 28, 2022 in PA

Enrollment address

4001 Ford Rd
Philadelphia, PA 19131-2833

Listed as

Mpac at HomeCCN 398344 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Mar 17, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Thomas Staiber, OTR/L

  • Home Health Agency
  • Newtown Square, PA
  • NPI 1558593699
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Manzoor A Shah, MD

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1477577666

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1295478295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FORD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312833",
            "telephone_number": "215-877-5400",
            "fax_number": "215-877-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FORD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312833",
            "telephone_number": "215-877-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENTAL POST ACUTE CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "215-877-5400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MPAC at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Christopher Month, MD
• Kathleen Montone, MD
• Diana C Montoya-Williams, M.D.
• Louise Montoya, M.A.
• Teresa Montufar, CRNA
• Jyothi Mony, PA-C
• Nasser Monzer, MB, BCH, BAO
• Daniel Monzo
• Pekka A Mooar, MD
• Moody Family Dental, LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.