Organization Active NPI

Patient Bliss Home Care Agency, Inc.

  • Home Health Agency
  • Feasterville Trevose, PA
National Provider Identifier
1821455353
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
06250501 Issued in PA
Legal business name
PATIENT BLISS HOME CARE AGENCY, INC.
Practice address
One Neshamini Interplex
Suite 106
Feasterville Trevose, PA 19053-6969
Phone
(215) 780-5475
Fax
(215) 359-1691
NPI assigned
Jan 28, 2016
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Ms. Yulina Cherkassky
Title
Owner / Ceo
Phone
(215) 780-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 06250501 PA Primary

Addresses

Primary practice location

One Neshamini Interplex
Suite 106
Feasterville Trevose, PA 19053-6969

Mailing address

One Neshamini Interplex
Suite 106
Feasterville Trevose, PA 19053-6969
Phone (215) 780-5475

Other identifiers 1

IdentifierTypeStateIssuer
103237993-0002MedicaidPA

Other names 1

  • Patient First Home Care Agency, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004002549 PA Part A Provider - Home Health Agency 2668760836 Practice locations: Trevose, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821455353. Details of each certification follow.

Home health agency certification: CCN 398266

Legal name
PATIENT BLISS HOME CARE AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2017
Last certification
Mar 17, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2016 in PA
Enrollment address
1 Neshaminy Interplex Dr
Ste 106
Trevose, PA 19053-6953

Care Compare: Home health agency

Medicare Care Compare
Listed as
Patient Bliss Home Care Agency, Inc.CCN 398266 · All quality measures
Ownership
Proprietary
Certified
Mar 17, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1 Neshaminy Interplex Dr
Ste 106
Trevose, PA 19053
Phone (215) 780-5475

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
Dmitry Cherkassky Individual Corporate OfficerVice President Jan 1, 2016
Corporate DirectorBoard Member Jan 1, 2016
Yuliana Cherkassky Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Corporate OfficerPresident Jan 1, 2016
Corporate DirectorBoard Member Jan 1, 2016
W-2 Managing EmployeePresident Jan 1, 2016

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1821455353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE NESHAMINI INTERPLEX",
            "address_2": "SUITE 106",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536969",
            "telephone_number": "215-780-5475",
            "fax_number": "215-359-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE NESHAMINI INTERPLEX",
            "address_2": "SUITE 106",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536969",
            "telephone_number": "215-780-5475",
            "fax_number": "215-359-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT BLISS HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "CHERKASSKY",
        "authorized_official_first_name": "YULINA",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "215-780-5475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "06250501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103237993-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient First Home Care Agency, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.