NPIMap

Organization Active NPI

Adventhealth Home Health and Hospice Inc

Doing business as Adventhealth Home Health

  • Home Health Agency
  • Calhoun, GA
National Provider Identifier
1073555256
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
164-188 Issued in GA
Legal business name
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Doing business as
Adventhealth Home Health
AdventHealth Home Care Gordon
Practice address
105 Willowbrook Way SE
Calhoun, GA 30701-1404
Phone
(706) 629-3333
Fax
(706) 625-9083
NPI assigned
Jun 12, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Mark Wheeler5
Title
Cfo
Phone
(530) 545-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 164-188 GA Primary

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 names 4

  • ADVENTHEALTH HOME HEALTH Doing business as
  • AdventHealth Home Care Gordon Doing business as
  • ADVENTIST HEALTH SYSTEM GEORGIA, INC. Former legal business name
  • Gordon Home Care Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114002805 FL Part A Provider - Home Health Agency 9830133941 Practice locations: Calhoun, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073555256. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
105 Willowbrook Way SE
Calhoun, GA 30701-1404

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventhealth Home HealthCCN 117106 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Aug 26, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
11D0916072Adventhealth Home Health105 Willowbrook Way, Calhoun, GA 30701Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Home Health and Hospice Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

104 Hospital Ct
Calhoun, GA 30701
Phone (706) 629-3333

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lee Adler Individual Corporate DirectorDirector Jan 1, 2025
Farlen Halikman Individual Corporate OfficerDirector Jan 1, 2025
Corporate DirectorDirector Jan 1, 2025
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Michael Saunders Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Sharon Oxford Individual W-2 Managing EmployeeAd; Jan 1, 2025
Operational/Managerial ControlAdminstrator Jan 1, 2025
Amanda Brady Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Bryan Wright Individual Contracted Managing EmployeeChief Executive Officer Jan 1, 2025
Corporate OfficerChief Executive Officer Jan 1, 2025
Operational/Managerial ControlChief Executive Officer Jan 1, 2025
Sherrie Sitarik Individual Corporate DirectorDirector Jan 1, 2025
David L Huffman Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Mark W.H. Wheeler Individual Contracted Managing EmployeeChief Financial Officer Jan 1, 2025
Corporate OfficerChief Financial Officer Jan 1, 2025
Operational/Managerial ControlChief Financial Officer Jan 1, 2025
Sandra L Randolph Individual Corporate OfficerSecretary Jan 1, 2025
Corporate DirectorDirector Jan 1, 2025

Facilities with the same owner 85

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

View all 85

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2025 Change of OwnershipThis provider was the buyer Adventhealth Home Care GordonCCN 117106, FL, NPI 1073555256
Jan 1, 2025 Change of OwnershipThis provider was the seller Adventhealth Home HealthCCN 117106, FL, NPI 1073555256

Practitioners & affiliated clinicians

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1073555256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307037013",
            "telephone_number": "706-629-3333",
            "fax_number": "706-625-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILLOWBROOK WAY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011404",
            "telephone_number": "706-629-3333",
            "fax_number": "706-625-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTHEALTH HOME HEALTH AND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WHEELER5",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-545-1409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "164-188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Home Care Gordon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTIST HEALTH SYSTEM GEORGIA, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gordon Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gordon Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.