Organization Active NPI

J & K Staffing Solutions, LLC

  • Home Health Agency
  • Salem, NH
National Provider Identifier
1972640407
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02855 Issued in NH
Legal business name
J & K STAFFING SOLUTIONS, LLC
Practice address
12 Stiles Rd Ste 103
Salem, NH 03079-2880
Phone
(603) 893-9214
Fax
(603) 890-8728
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mike Lovell
Title
Vice President
Phone
(480) 618-5760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02855 NH Primary

Addresses

Primary practice location

12 Stiles Rd Ste 103
Salem, NH 03079-2880

Mailing address

2999 N 44TH St Ste 100
Phoenix, AZ 85018-7247
Phone (480) 618-5760

Other practice location 1

15 Rye St Ste 307
Portsmouth, NH 03801-6846
Phone (603) 385-3971

Other identifiers 2

IdentifierTypeStateIssuer
3133004MedicaidNH
3133010MedicaidNH

Other names 1

  • Team Select Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140501000426 NH Part A Provider - Home Health Agency 6406091735 Practice locations: Portsmouth, NH; Salem, NH

Home health agency certification: CCN 307088

Legal name
J & K STAFFING SOLUTIONS, LLC
Doing business as
TEAM SELECT HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2014
Last certification
Dec 16, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
12 Stiles Rd
Ste 103
Salem, NH 03079-2880

Care Compare: Home health agency

Medicare Care Compare
Listed as
Team Select Home CareCCN 307088
Ownership
Proprietary
Certified
Feb 27, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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
30D2257190Team Select Home Care12 Stiles Rd, Ste 103, Salem, NH 03079Certificate of waiverMar 31, 2028
30D2321945J&K Staffing Solutions15 Rye St, Ste 307, Portsmouth, NH 03801Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

15 Rye St
Ste 307
Portsmouth, NH 03801
Phone (603) 385-3971

85 Stiles Rd
Ste 202
Salem, NH 03079
Phone (603) 893-9214

14 Stiles Rd
Ste 104
Salem, NH 03079
Phone (603) 894-5654

12 Stiles Rd
Ste 103
Salem, NH 03079
Phone (603) 893-9214

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Michael Lovell Individual 5% Or Greater Indirect Ownership InterestVice President Nov 5, 2021 12.35%
Corporate OfficerVice President Nov 5, 2021
Team Select Holdings LLC Organization, Phoenix, AZ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 5, 2021 100%
TS Investors LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 5, 2021 100%
Susan Valocchi Individual Corporate OfficerSecretary/ Chief Compliance Officer May 5, 2023
Tania Philbrook Individual W-2 Managing EmployeeAdministrator Feb 1, 2022
CSC TS Parent LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
CSC TS Holdings LP Organization, Phoenix, AZ Private equity company 5% Or Greater Indirect Ownership Interest May 4, 2023 66.79%
CSC TS Management LLC Organization, Phoenix, AZ 5% Or Greater Indirect Ownership Interest May 4, 2023 11.49%
TS TCM Investors, LLC Organization, New York, NY LLC, Private equity company 5% Or Greater Indirect Ownership Interest Nov 5, 2021 7.24%
TS Holdco Parent LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 5, 2021 100%
Frederick Johnson Individual Corporate OfficerPresident May 14, 2023
Mark Kuleck Individual Corporate OfficerChief Financial Officer Apr 15, 2025
CSC TS Acquisition LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
JCML Holdings LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 5, 2021 14.48%
CSC TS Intermediate LLC Organization, Phoenix, AZ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 4, 2023 100%

Facilities with the same owner 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1972640407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187247",
            "telephone_number": "480-618-5760",
            "fax_number": "603-890-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILES RD STE 103",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792880",
            "telephone_number": "603-893-9214",
            "fax_number": "603-890-8728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Rye St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038016846",
            "country_code": "US",
            "telephone_number": "603-385-3971",
            "fax_number": "603-685-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J & K STAFFING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-618-5760"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "02855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133004",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133010",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.