Active NPI
Caring Angels Homecare Agency, Inc.
Doing business as Patriot Home Care
- Home Health Agency
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CARING ANGELS HOMECARE AGENCY, INC.
- Doing business as
- Patriot Home Care
- Practice address
- 800 W 4TH St Ste 303
Wilmington, DE 19801-2044 - Phone
- (302) 467-3535
- Fax
- (302) 397-8998
- NPI assigned
- Dec 3, 2018
- Last updated
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mari Willis, RN
- Title
- Cno
- Phone
- (216) 970-1189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
800 W 4TH St Ste 303
Wilmington, DE 19801-2044
Mailing address
800 W 4TH St Ste 303
Wilmington, DE 19801-2044
Phone (302) 467-3535
Other names 1
- Patriot Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231114001273 | DE | Part A Provider - Hospice | 9931445517 | Practice locations: Wilmington, DE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1124598156. Details of each certification follow.
Hospice certification: CCN 081513
- Legal name
- CARING ANGELS HOMECARE AGENCY INC
- Doing business as
- PATRIOT HOME CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 26, 2020
- Last certification
- May 26, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- in DE
- Enrollment address
- 800 W 4TH St
Ste 303
Wilmington, DE 19801-2044
Care Compare: Hospice
Medicare Care Compare- Listed as
- Patriot Home Care
- Ownership
- For-Profit
- Certified
- May 26, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1225 N King St
Ste 300
Wilmington, DE 19801
Phone (302) 467-3535
1324 N King St
Wilmington, DE 19801
Phone (302) 407-3046
800 W 4th St
Ste 303
Wilmington, DE 19801
Phone (302) 467-3535
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Salone Walker | W-2 Managing Employee | Jul 5, 2023 | |
| Carering Health LLC | 5% Or Greater Direct Ownership Interest | Jul 7, 2023 | 100% |
| Madison Dearborn Capital Partners VIII-B, L.P. | Limited Partnership Interest | May 4, 2022 | 46.4% |
| PHC Investments II LLC | 5% Or Greater Indirect Ownership Interest | May 4, 2022 | 100% |
| Kyle Allen | Corporate Officer | May 1, 2022 | |
| Corporate Director | May 4, 2022 | ||
| Ravinder Sandhu | Corporate Officer | Feb 13, 2023 | |
| Corporate Director | Feb 13, 2023 | ||
| MDCP VII-C PHC Splitter LP | Limited Partnership Interest | May 4, 2022 | 24.09% |
| Dina Ibragimova 2020 Irrevocable Trust | Other | May 4, 2022 | 6.95% |
| PHC Investments I LLC | 5% Or Greater Indirect Ownership Interest | May 4, 2022 | 100% |
| Brenda Riordan | Corporate Officer | Aug 18, 2022 | |
| Corporate Director | Aug 18, 2022 | ||
| Mark Quinnan | Corporate Officer | Feb 13, 2023 | |
| Corporate Director | Feb 13, 2022 | ||
| Marietta Willis | Corporate Officer | May 1, 2022 | |
| Corporate Director | May 4, 2022 | ||
| Vladimir Matkivski 2020 Irrevocable Trust | Other | May 4, 2022 | 6.95% |
| Cletus S Guenthner | Corporate Officer | May 1, 2022 | |
| Corporate Director | May 4, 2022 | ||
| Charles Fitch | Corporate Officer | Dec 5, 2022 | |
| Corporate Director | Dec 5, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Xenia, OH
- NPI 1821058736
Corporate Director, Corporate Officer
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Home Recovery - Homeaid
- Home Health Agency
- Farmville, VA
- NPI 1811933328
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
- Home Health Agency
- Youngstown, OH
- NPI 1013316496
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
- Home Health Agency
- Philadelphia, PA
- NPI 1124029467
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
dba Immediate Homecare and Hospice
- Community Based Hospice Care Agency
- Philadelphia, PA
- NPI 1912158932
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
dba Americare In Home Nursing
- Home Health Agency
- Alexandria, VA
- NPI 1598706483
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
dba Americare in Home Nursing
- Home Health Agency
- Washington, DC
- NPI 1245410943
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
dba Americare In Home Nursing
- Home Health Agency
- Landover, MD
- NPI 1679515902
PHC Investments I LLC, PHC Investments II LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 7, 2023 | Change of Ownership | Aveanna Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Aveanna Hospice
- Community Based Hospice Care Agency
- Milford, DE
- NPI 1093358798
Acquired from, 2023-07-07
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1124598156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W 4TH ST STE 303",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198012044",
"telephone_number": "302-467-3535",
"fax_number": "302-397-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 4TH ST STE 303",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198012044",
"telephone_number": "302-467-3535",
"fax_number": "302-397-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING ANGELS HOMECARE AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-03",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "MARI",
"authorized_official_title_or_position": "CNO",
"authorized_official_telephone_number": "216-970-1189",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patriot Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.