Providence Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOME HEALTH

Practice address

500 Lakeshore Pkwy
Rock Hill, SC 29730-4273

Phone

(803) 818-6900

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Annette Distasi

Title

VP Operations

Phone

(469) 619-8614

Specialties & licenses 1

Addresses

Other names 2

• Embrace Home Health Doing business as
• Providece At Home Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Home health agency certification: CCN 427140

Legal name

PROVIDENCE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 6, 2019

Last certification

Dec 6, 2019

Ownership / control type

Government Operated

Organization structure

LLCProprietary

Incorporated

Mar 8, 2019 in SC

Enrollment address

500 Lakeshore Pkwy
Rock Hill, SC 29730-4273
HHA Branch

Listed as

Embrace Home HealthCCN 427140

Overall star rating

3.5 of 5

Ownership

Government Operated

Certified

Dec 6, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Romin Shah, M.D.

  • Internal Medicine Physician
  • York, SC
  • NPI 1851417729

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 5

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

• Rachel Lynn Bond, APRN

  • Gerontology Nurse Practitioner
  • Fort Mill, SC
  • NPI 1215562533

  Home health agency

  Care Compare affiliation
• Amanda C Ivey, FNP-C

  • Family Nurse Practitioner
  • Lake Wylie, SC
  • NPI 1770970873

  Home health agency

  Care Compare affiliation
• Paul A. Lingoes, M.D.

  • Family Medicine Physician
  • Lancaster, SC
  • NPI 1891955969

  Home health agency

  Care Compare affiliation
• Alysia Nicole Moore, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1619444544

  Home health agency

  Care Compare affiliation
• Brittany Nicole Pinti

  • Nurse Practitioner
  • Rock Hill, SC
  • NPI 1780345991

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1003374034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304273",
            "telephone_number": "803-239-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304273",
            "telephone_number": "803-818-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "DISTASI",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-619-8614"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providece At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Project Calm
• Caitlin Propheter, RBT
• Prospers Home Heath Agency LLC
• Prosthetic & Orthotic Institute Inc
• Providence Care LLC
• Providence House Calls LLC
• Pruitthealth - Rock Hill, LLC
• Pruitthealth Home Health, Inc.
• Pruitthealth Therapy Services, Inc.
• Psychological Associates of Rock Hill

• Home Health Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.

Verify at the official NPI Registry.