Adventhealth Home Health and Hospice Inc
Organization Active NPI Home Health Agency · Calhoun, GA
NPI 1073555256 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1073555256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 164-188 (GA)
- Legal business name
- ADVENTHEALTH HOME HEALTH AND HOSPICE INC
- Practice address
- 105 Willowbrook Way SE
Calhoun, GA 30701-1404 - Phone
- (706) 629-3333
- Fax
- (706) 625-9083
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Wheeler5
- Title
- Cfo
- Phone
- (530) 545-1409
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 15
Member of 1
Facilities with the same owner 85
Affiliated clinicians 32
-
William T Boyett Jr., M.D.
-
Cynthia W Brown, M.D.
-
Victoria Chung, MD
-
Horace Lee Cline, M.D.
-
Robert Ted Cook, MD MPH FAAFP
-
Phillip Gray, M.D.
-
Elisa Jaramillo-Mayor, M.D., M.P.H.
-
Stephen Mark King, M.D.
-
Robert Alfred Lester IV, M.D.
-
Jeffrey Klinzing Marlow, M.D.
-
Edward E Meier, M.D.
-
Richard A Mersberger, D.O.
-
Sarah J Polow, DO
Medicare Care Compare: Home health agency
- Listed as
- Adventhealth Home Health
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Aug 26, 1996
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0916072 | Adventhealth Home Health | Certificate of waiver | Jun 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 117106
- Legal name
- ADVENTHEALTH HOME HEALTH AND HOSPICE INC
- Doing business as
- ADVENTHEALTH HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 26, 1996
- Last certification
- Jun 13, 2018
- Ownership / control type
- Non-Profit
- Most recent change of ownership
- Jan 1, 2025
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 105 Willowbrook Way SE
Calhoun, GA 30701-1404
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lee Adler |
Corporate Director |
Jan 1, 2025 | |
| Farlen Halikman |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 | ||
| Jeffrey Graff |
Corporate Officer |
Jan 1, 2025 | |
| Michael Saunders |
Corporate Officer |
Jan 1, 2025 | |
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Sharon Oxford |
W-2 Managing Employee |
Jan 1, 2025 | |
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Amanda Brady |
Corporate Officer |
Jan 1, 2025 | |
| Bryan Wright |
Contracted Managing Employee |
Jan 1, 2025 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Sherrie Sitarik |
Corporate Director |
Jan 1, 2025 | |
| David L Huffman |
Corporate Officer |
Jan 1, 2025 | |
| Lynn Addiscott |
Corporate Officer |
Jan 1, 2025 | |
| Mark W.H. Wheeler |
Contracted Managing Employee |
Jan 1, 2025 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Operational/Managerial Control |
Jan 1, 2025 | ||
| Sandra L Randolph |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2025 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2025 | Change of Ownership |
Adventhealth Home Care Gordon |
| Jan 1, 2025 | Change of Ownership |
Adventhealth Home Health |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251114002805 | FL | Part a Provider - Home Health Agency | 9830133941 | Practice locations: Calhoun, GA |
National Provider Directory
- Tax ID family
- Adventhealth Home Health and Hospice Inc
Locations
104 Hospital Ct
Calhoun, GA 30701
Phone (706) 629-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 164-188 | GA | Yes |
Addresses
Primary practice location
105 Willowbrook Way SE
Calhoun, GA 30701-1404
Mailing address
PO Box 12938
Calhoun, GA 30703-7013
Phone (706) 629-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00788554A | Medicaid | GA |
Other names
- ADVENTHEALTH HOME HEALTH
- AdventHealth Home Care Gordon
- ADVENTIST HEALTH SYSTEM GEORGIA, INC.
- Gordon Home Care
Other providers in Calhoun, GA
- Activekidz and Adult Therapy Services
- Adairsville Chiropractic Center
- Becky Lynn Adams
- Pelumi Adedayo
- Advance Rehabilitation for Kids of Gordon County, Inc
- Adventist Health System Georgia Inc
- Adventist Health System Georgia Inc
- Adventist Health System Georgia Inc
- Adventist Health System Georgia Inc
- Adventist Health System Georgia Inc
All providers in Calhoun, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.