NPIMap

Organization Active NPI

At Home Rehab, L.L.C.

  • Home Health Agency
  • Southampton, PA
National Provider Identifier
1720082290
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
77860501 Issued in PA
Legal business name
AT HOME REHAB, L.L.C.
Practice address
542 Street Rd
Southampton, PA 18966-3747
Phone
(215) 230-4140
Fax
(215) 230-4970
NPI assigned
Jun 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Ms. Jennifer Ann Guglielmi, M.S.P.T.NPI 1174996680
Title
Ceo
Phone
(267) 241-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 77860501 PA Primary

Addresses

Primary practice location

542 Street Rd
Southampton, PA 18966-3747

Mailing address

542 Street Rd
Southampton, PA 18966-3747
Phone (215) 230-4140

Other identifiers 1

IdentifierTypeStateIssuer
77860501OtherPALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030307000044 PA Part A Provider - Home Health Agency 1052220316 Practice locations: Southampton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720082290. Details of each certification follow.

Home health agency certification: CCN 397786

Legal name
AT HOME REHAB LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 11, 2004
Last certification
Nov 12, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 12, 2002 in PA
Enrollment address
542 Street Rd
Southampton, PA 18966-3747

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home Rehab LLCCCN 397786 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 11, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
39D2012604At Home Rehab542 Street Road, Southampton, PA 18966Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Locations

542 Street Rd
Southampton, PA 18966
Phone (215) 230-4140

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Jennifer a Guglielmi Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2003 100%
Corporate OfficerCeo Jan 1, 2003
W-2 Managing EmployeeCeo Jan 1, 2003

Practitioners & affiliated clinicians

Practitioners 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1720082290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663747",
            "telephone_number": "215-230-4140",
            "fax_number": "215-230-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663747",
            "telephone_number": "215-230-4140",
            "fax_number": "215-230-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME REHAB, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-12",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-241-4010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77860501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "77860501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.