NPIMap

Organization Active NPI

Infinity Health Services, Inc.

Doing business as Activa Home Health

  • Home Health Agency
  • Boynton Beach, FL
National Provider Identifier
1780869982
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993383 Issued in FL
Legal business name
INFINITY HEALTH SERVICES, INC.
Doing business as
Activa Home Health
Practice address
1501 Corporate Dr Ste 230
Boynton Beach, FL 33426-6654
Phone
(561) 819-0460
Fax
(561) 207-7843
NPI assigned
Jan 7, 2008
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Marcella Lynch
Title
SVP of Compliance
Phone
(470) 392-9412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993383 FL Primary

Addresses

Primary practice location

1501 Corporate Dr Ste 230
Boynton Beach, FL 33426-6654

Mailing address

1165 Northchase Pkwy SE Ste 250
Marietta, GA 30067-6432
Phone (470) 421-0191

Other names 1

  • Activa Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000557 FL Part A Provider - Home Health Agency 0042373995 Practice locations: Boynton Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780869982. Details of each certification follow.

Home health agency certification: CCN 109143

Legal name
INFINITY HEALTH SERVICES, INC.
Doing business as
ACTIVA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2009
Last certification
Feb 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 8, 2005 in FL
Enrollment address
1501 Corporate Dr
Ste 230
Boynton Beach, FL 33426-6654
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Activa Home HealthCCN 109143 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Feb 17, 2009
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
10D1093462Activa Home Health1501 Corporate Dr, Ste 230, Boynton Beach, FL 33426Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Activa Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1501 Corporate Dr
Ste 230
Boynton Beach, FL 33426
Phone (561) 819-0460

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Marcella Lynch Individual W-2 Managing EmployeeCompliance Officer Nov 21, 2022 20%
Brandon P Ballew Individual 5% Or Greater Indirect Ownership Interest Sep 17, 2022 10%
Corporate OfficerCeo Sep 17, 2022 25%
88-HC Acquisition Holding L.P. Organization, Greenwich, CT Created for acquisition 5% Or Greater Direct Ownership Interest Apr 3, 2018 100%
5% Or Greater Indirect Ownership Interest Apr 3, 2018 99.99%
David W Miles Individual Corporate OfficerCfo Aug 18, 2023
Accord Dolphin Acquistion Corp Organization, Marietta, GA Created for acquisition, Corporation Limited Partnership Interest Sep 17, 2021 99.99%
Accordcare LLC Organization, Marietta, GA LLC General Partnership Interest Sep 17, 2021 0.01%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 83

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

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1780869982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHCHASE PKWY SE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676432",
            "telephone_number": "470-421-0191",
            "fax_number": "561-207-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266654",
            "telephone_number": "561-819-0460",
            "fax_number": "561-207-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2024-06-20",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "SVP OF COMPLIANCE",
        "authorized_official_telephone_number": "470-392-9412"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activa Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Activa Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.