Organization Active NPI

Bistoy Home Healthcare Inc.

  • Home Health Agency
  • Darby, PA
National Provider Identifier
1871253237
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BISTOY HOME HEALTHCARE INC.
Practice address
501 S 4TH St
Darby, PA 19023-3119
Phone
(215) 917-3942
NPI assigned
Dec 28, 2021
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Ola Fajinmi
Title
President
Phone
(215) 917-3942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

501 S 4TH St
Darby, PA 19023-3119

Mailing address

501 S 4TH St
Darby, PA 19023-3119
Phone (215) 917-3942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912002630 PA Part A Provider - Home Health Agency 8325423346 Practice locations: Darby, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871253237. Details of each certification follow.

Home health agency certification: CCN 398356

Legal name
BISTOY HOME HEALTHCARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 2024
Last certification
Jan 5, 2024
Organization structure
CorporationProprietary
Enrollment address
501 S 4TH St
Darby, PA 19023-3119

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bistoy Home Healthcare, Inc.CCN 398356 · All quality measures
Ownership
-
Certified
Jan 20, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Ola Fajinmi Individual 5% Or Greater Direct Ownership InterestPresident Nov 29, 2021 100%
Corporate OfficerAdministrator Nov 29, 2021 50%
Corporate DirectorDr Nov 29, 2021 50%
W-2 Managing EmployeeAdministrator; Medical Director; As Nov 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1871253237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 4TH ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190233119",
            "telephone_number": "215-917-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 4TH ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190233119",
            "telephone_number": "215-917-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISTOY HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "FAJINMI",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-917-3942"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.