NPIMap

Organization Active NPI

Infinity Health Services, Inc.

Doing business as Activa Home Health

  • Home Health Agency
  • Coral Springs, FL
National Provider Identifier
1912133208
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993504 Issued in FL
Legal business name
INFINITY HEALTH SERVICES, INC.
Doing business as
Activa Home Health
Practice address
7451 Wiles Rd Ste 207
Coral Springs, FL 33067-2040
Phone
(954) 344-1761
Fax
(954) 688-2958
NPI assigned
Jun 2, 2009
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 299993504 FL Primary

Addresses

Primary practice location

7451 Wiles Rd Ste 207
Coral Springs, FL 33067-2040

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
O20090914000667 FL Part A Provider - Home Health Agency 0042373995 Practice locations: Coral Springs, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912133208. Details of each certification follow.

Home health agency certification: CCN 109628

Legal name
INFINITY HEALTH SERVICES, INC.
Doing business as
ACTIVA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 13, 2010
Last certification
Aug 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 7, 2019 in FL
Enrollment address
7451 Wiles Rd
Ste 207
Coral Springs, FL 33067-2040
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 109628 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 13, 2010
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
10D1101698Activa Home Health7451 Wiles Road Suite 207, Coral Springs, FL 33067Certificate of waiverJul 1, 2027

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

12350 NW 39th St
Ste 203
Coral Springs, FL 33065
Phone (954) 334-1761

5850 Coral Ridge Dr
Ste 105
Coral Springs, FL 33076
Phone (954) 344-1761

5850 Coral Ridge Dr
Ste 301
Coral Springs, FL 33076
Phone (954) 344-1761

755 NW 17th Ave
Ste 105
Delray Beach, FL 33445

Ownership & related parties

All disclosed owners & managing parties 7

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 Corporate DirectorPresident of Home Health Nov 3, 2022
W-2 Managing EmployeePresident of Home Health Sep 1, 2022 100%
88-HC Acquisition Holding L.P. Organization, Greenwich, CT Created for acquisition 5% Or Greater Direct Ownership Interest Apr 3, 2018 100%
David Jones Individual Corporate OfficerCeo Jul 1, 2024
Tara Matthews Individual Corporate OfficerCfo Jul 1, 2024
88-GC Acquisition Partners LP Organization, Greenwich, CT Created for acquisition 5% Or Greater Indirect Ownership Interest Apr 3, 2018 99.99%
Accord Dolphin Acquistion Corp Organization, Marietta, GA Created for acquisition, Corporation Limited Partnership Interest Sep 17, 2021 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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1912133208",
    "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": "7451 WILES RD STE 207",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672040",
            "telephone_number": "954-344-1761",
            "fax_number": "954-688-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "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": "299993504",
            "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 Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.