Act Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

02530501 Issued in PA

Legal business name

ACT HOME HEALTH SERVICES, INC

Practice address

1121 S 11TH St
Philadelphia, PA 19147-4601

Phone

(215) 389-1800

Fax

(215) 389-1899

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Maxima Hui, CPA

Title

Vice President/Cfo

Phone

(215) 708-1191

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398033

Legal name

ACT HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 19, 2005

Last certification

Apr 29, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 7, 2004 in PA

Enrollment address

1121S 11TH St
Philadelphia, PA 19147-4601

Listed as

Act Home Health Services IncCCN 398033 · All quality measures

Ownership

Proprietary

Certified

Aug 19, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1306878798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474601",
            "telephone_number": "215-389-1800",
            "fax_number": "215-389-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474601",
            "telephone_number": "215-389-1800",
            "fax_number": "215-389-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "HUI",
        "authorized_official_first_name": "MAXIMA",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "215-708-1191",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02530501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE PROVIDER NO.",
            "identifier": "X0030595-01",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101397666-0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS SITE NO.",
            "identifier": "36121",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "30030869",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.