NPIMap

Organization Active NPI

New Life Home Health Care Agency

Doing business as New Life Home Care & Hospice Agency

  • Home Health Agency
  • Huntingdon Valley, PA
National Provider Identifier
1508861097
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02150501 Issued in PA
Legal business name
NEW LIFE HOME HEALTH CARE AGENCY
Doing business as
New Life Home Care & Hospice Agency
Practice address
2655 Philmont Ave
Ste 101
Huntingdon Valley, PA 19006-5314
Phone
(215) 947-8220
Fax
(215) 938-1211
NPI assigned
Jun 20, 2005
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Boris Apel
Title
C.F.O.
Phone
(215) 947-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02150501 PA Primary

Addresses

Primary practice location

2655 Philmont Ave
Ste 101
Huntingdon Valley, PA 19006-5314

Mailing address

2655 Philmont Ave
Ste 101
Huntingdon Valley, PA 19006-5314
Phone (215) 947-8220

Other identifiers 2

IdentifierTypeStateIssuer
02150501OtherPAAGENCY-STATE ID
1008846060001MedicaidPA

Other names 1

  • New Life Home Care & Hospice Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030805000034 PA Part A Provider - Home Health Agency 8224949961 Practice locations: Huntingdon Valley, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508861097. Details of each certification follow.

Home health agency certification: CCN 397795

Legal name
NEW LIFE HOME HEALTH CARE AGENCY
Doing business as
NEW LIFE HOME CARE & HOSPICE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2003
Last certification
Mar 19, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 21, 2003 in PA
Enrollment address
2655 Philmont Ave
Ste 101
Huntingdon Valley, PA 19006-5314
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
New Life Home Health Care Agency IncCCN 397795 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 12, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2655 Philmont Ave
Ste 101
Huntingdon Vy, PA 19006
Phone (215) 947-1712

Ownership & related parties

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.

NameRoleSinceShare
Galina Spodik Individual 5% Or Greater Direct Ownership InterestVice President Mar 23, 2003 33%
Corporate OfficerVice President Mar 23, 2003
Corporate DirectorVice President Mar 23, 2003
W-2 Managing EmployeeOffice Manager Mar 23, 2003
Elena Sirotkina Individual 5% Or Greater Direct Ownership InterestPresident Mar 23, 2003 34%
Corporate OfficerPresident Mar 23, 2003
Corporate DirectorPresident Mar 23, 2003
W-2 Managing EmployeeAdministrator Mar 23, 2003
Boris Apel Individual 5% Or Greater Direct Ownership InterestC.F.O. Mar 23, 2003 33%
Corporate OfficerC.F.O. Mar 23, 2003
Corporate DirectorTreasurer Mar 23, 2003
W-2 Managing EmployeeCfo Mar 23, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1508861097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE",
            "address_2": "STE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "215-947-8220",
            "fax_number": "215-938-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE",
            "address_2": "STE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "215-947-8220",
            "fax_number": "215-938-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "APEL",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "215-947-8220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02150501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY-STATE ID",
            "identifier": "02150501",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008846060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Home Care & Hospice Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.