Organization Active NPI

Appleton Home Health Services, LLC

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1316260532
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
APPLETON HOME HEALTH SERVICES, LLC
Practice address
1708 Corporate Dr
Suite B
Boynton Beach, FL 33426-6662
Phone
(561) 200-0255
Fax
(561) 200-0257
NPI assigned
Mar 2, 2010
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Diane Ricca Chitwood, RN
Title
Managing Partner
Phone
(561) 306-5383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

1708 Corporate Dr
Suite B
Boynton Beach, FL 33426-6662

Mailing address

1708 Corporate Dr
Suite B
Boynton Beach, FL 33426-6662
Phone (561) 200-0255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000655 FL Part A Provider - Home Health Agency 9537343652 Practice locations: Boynton Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316260532. Details of each certification follow.

Home health agency certification: CCN 109757

Legal name
APPLETON HOME HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2012
Last certification
Mar 19, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 10, 2009 in FL
Enrollment address
1708 B Corporate Drive
Boynton Beach, FL 33426-6662

Care Compare: Home health agency

Medicare Care Compare
Listed as
Appleton Home Health Services LLCCCN 109757 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 27, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D2009049Appleton Home Health Services LLC1708 B Corporate Dr, Boynton Beach, FL 33426Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

1708 Corporate Dr
#B
Boynton Beach, FL 33426
Phone (561) 200-0255

1708 Corporate Dr
Ste B
Boynton Beach, FL 33426
Phone (561) 200-0255

Ownership & related parties

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.

NameRoleSinceShare
Dianne Chitwood Individual 5% Or Greater Direct Ownership Interest Sep 2, 2010
Corporate Director Sep 2, 2010
W-2 Managing Employee Sep 2, 2010
Susan Ricca Individual 5% Or Greater Direct Ownership Interest Sep 2, 2010
Corporate Director Sep 2, 2010

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1316260532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CORPORATE DR",
            "address_2": "SUITE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266662",
            "telephone_number": "561-200-0255",
            "fax_number": "561-200-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 CORPORATE DR",
            "address_2": "SUITE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266662",
            "telephone_number": "561-200-0255",
            "fax_number": "561-200-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "RICCA CHITWOOD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-306-5383",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.