NPIMap

Organization Active NPI

Associated Family Home Care Inc

  • Home Health Agency
  • Kingston, PA
National Provider Identifier
1609871409
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
750205 Issued in PA
Legal business name
ASSOCIATED FAMILY HOME CARE INC
Practice address
256 Schuyler Avenue
Kingston, PA 18704-3322
Phone
(570) 283-5917
Fax
(570) 763-0067
NPI assigned
Jun 17, 2005
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mrs. Charlene Gabriella Onzik
Title
Administrator
Phone
(570) 283-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 750205 PA Primary

Addresses

Primary practice location

256 Schuyler Avenue
Kingston, PA 18704-3322

Mailing address

256 Schuyler Avenue
Kingston, PA 18704-3322
Phone (570) 283-5917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090521000576 PA Part A Provider - Home Health Agency 6103975107 Practice locations: Kingston, PA
O20231211003222 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103975107 Receives reassigned benefits from 7 practitioners
Practice locations: Kingston, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609871409. Details of each certification follow.

Home health agency certification: CCN 397502A

Legal name
ASSOCIATED FAMILY HOME CARE INC
Organization structure
CorporationProprietary
Incorporated
Jan 18, 1990 in PA
Enrollment address
256 Schuyler Ave
Kingston, PA 18704-3322

Care Compare: Home health agency

Medicare Care Compare
Listed as
Associated Family Home Care, Inc.CCN 397502
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 24, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
39D0716841Associated Family Home Care, Inc256 Schuyler Avenue, Kingston, PA 18704Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

256 Schuyler Ave
Kingston, PA 18704
Phone (570) 283-5917

68 W Bennett St
Kingston, PA 18704
Phone (570) 288-1452

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
Charlene G Onzik Individual 5% Or Greater Direct Ownership Interest Jan 1, 1993 100%
Corporate OfficerPresident/Ceo Jan 31, 1990
Corporate DirectorBoard Member Jan 31, 1990
W-2 Managing EmployeePresident Jan 31, 1990
Paul Samuel Onzik Individual Corporate DirectorBoard Member Apr 1, 2010 40%
W-2 Managing EmployeeBoard Member,Director of Operations Apr 1, 2010 40%

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1609871409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SCHUYLER AVENUE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043322",
            "telephone_number": "570-283-5917",
            "fax_number": "570-763-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SCHUYLER AVENUE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043322",
            "telephone_number": "570-283-5917",
            "fax_number": "570-763-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "ONZIK",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-283-5917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "750205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.