Advanced Home Health Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCED HOME HEALTH CARE AGENCY, INC

Practice address

104 Park Rd
West Hartford, CT 06119-1750

Phone

(860) 236-7701

Fax

(860) 236-7708

NPI assigned

Jan 8, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allen Khorosh

Title

President

Phone

(860) 236-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356499099. Details of each certification follow.

• CCN 077242 Home health agency · Active · Details

Home health agency certification: CCN 077242

Legal name

ADVANCED HOME HEALTH CARE AGENCY, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 14, 2007

Last certification

Dec 19, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 2, 2006 in CT

Enrollment address

104 Park Rd
West Hartford, CT 06119-1797
HHA Branch

Listed as

Advanced Home Health Care Agency, IncCCN 077242 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 14, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Sarah L Cabelus, PA-C

  • Medical Physician Assistant
  • Enfield, CT
  • NPI 1457696890

  Home health agency

  Care Compare affiliation
• George Donahue, MD

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1710964325

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1356499099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191750",
            "telephone_number": "860-236-7701",
            "fax_number": "860-236-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191750",
            "telephone_number": "860-236-7701",
            "fax_number": "860-236-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME HEALTH CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "KHOROSH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-236-7701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "07-7242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Appiahene Addai
• Melanie Adittya
• Leslie R. Adler, MSW
• Advance Dental Care PC
• Advanced Health & Wellness Practice, PLLC
• Advanced Home Medical Supplies Inc.
• Advanced Home Medical Supplies Inc.
• Advanced OB-GYN Doctors
• Advanced Practice Elder Care
• Advocate Community Care Agency, Inc. (juniper house homecare)

• Home Health Agency in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.