Active NPI
Patient Bliss Home Care Agency, Inc.
- Home Health Agency
- Feasterville Trevose, PA
National Provider Identifier
1821455353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 06250501
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103237993-0002 | Medicaid | PA |
Other names 1
- Patient First Home Care Agency, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- Proprietary
- Certified
- Mar 17, 2017
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dmitry Cherkassky | Corporate Officer | Jan 1, 2016 | |
| Corporate Director | Jan 1, 2016 | ||
| Yuliana Cherkassky | 5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| Corporate Officer | Jan 1, 2016 | ||
| Corporate Director | Jan 1, 2016 | ||
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.