Advanced Home Health and Hospice Inc
Organization Active NPI Community Based Hospice Care Agency · Sacramento, CA
NPI 1194020073 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1194020073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ADVANCED HOME HEALTH AND HOSPICE INC
- Practice address
- 4362 Auburn Blvd Ste 100
Sacramento, CA 95841-4107 - Phone
- (916) 678-5807
- Fax
- (916) 978-0707
- NPI assigned
- Jan 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Alicia Marr
- Title
- Ceo
- Phone
- (916) 978-5807
Facilities with the same owner 9
Medicare Care Compare: Hospice
- Listed as
- Advanced Home Health and Hospice, Inc
- Ownership
- For-Profit
- Certified
- Jul 12, 2012
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN 551650
- Legal name
- ADVANCED HOME HEALTH AND HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 12, 2012
- Last certification
- Oct 29, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 19, 2011 in CA
- Enrollment address
- 4362 Auburn Blvd
Sacramento, CA 95841-4107
All disclosed owners & managing parties 26
| Name | Role | Since | Share |
|---|---|---|---|
| Excellin Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | 8.53% |
| Uk Railways Pension Schemes (United Kingdom) |
5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | 12% |
| CCG-Ehh Management, LLC |
5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | 88.6% |
| Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP |
5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 10.67% |
| Wonder Women LLC |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 10% |
| Corinthian Equity Partners II, L.P. |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | |
| CCG-Ehh Blocker LLC |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 74.7% |
| Justin T Crane |
Corporate Director | Jun 2, 2021 | |
| Gemini GP VI, LLC |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | |
| Corinthian Co-Investment Fund, L.P. |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 20% |
| Jason Burns Ghoshhajra |
Corporate Director | Jun 2, 2021 | |
| Excelin Health, LLC |
5% Or Greater Direct Ownership Interest | Sep 30, 2018 | 100% |
| Gemini Investors VI LP |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 6% |
| Anthony Pucillo |
Corporate Director | Jun 2, 2021 | |
| Corealpha Private Equity Partners Co-Investment Fund V, LP |
5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 12% |
| Alicia Christine Marr |
Corporate Officer |
Nov 6, 2019 | |
| Corporate Director | Jun 2, 2021 | ||
| Bijal K Shah |
Corporate Director | Jun 2, 2021 | |
| Excelin Health Inc |
5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 100% |
| WP Corealpha Co-Investment GP V, LLC |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | |
| Corinthian Equity Fund II LP |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 27.8% |
| WP Global RR Investors, L.P. |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | 12% |
| Lisa Trull |
W-2 Managing Employee |
Jun 1, 2023 | |
| WP RR GP, LLC |
5% Or Greater Indirect Ownership Interest | Oct 25, 2018 | |
| Luke G Myers |
Corporate Officer |
Aug 2, 2021 | |
| Sheena Meeker |
W-2 Managing Employee |
Jan 7, 2022 | |
| Maureen a Spivack |
Corporate Director | Jun 2, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000927 | CA | Part a Provider - Hospice | 0446425821 | Practice locations: Sacramento, CA; Yuba City, CA |
National Provider Directory
Locations
4362 Auburn Blvd
Ste 100
Sacramento, CA 95841
Phone (916) 678-5807
4370 Auburn Blvd
#B
Sacramento, CA 95841
Phone (916) 978-0744
1528 Plumas Ct
Ste 400
Yuba City, CA 95991
Phone (530) 923-4162
855 Harter Pkwy
Ste 380B
Yuba City, CA 95993
Phone (530) 923-4162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
4362 Auburn Blvd Ste 100
Sacramento, CA 95841-4107
Mailing address
4362 Auburn Blvd Ste 100
Sacramento, CA 95841-4107
Phone (916) 678-5807
Other practice location 1
1528 Plumas Ct Ste 400
Yuba City, CA 95991-2973
Phone (530) 923-4162
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- Advance Kids
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- Advanced Foothills Medics
- Advanced Home Health Inc
- Advanced Infusion Systems, LLC
- Advanced Mobile Wound Healing Physician Assistant, PC
- Advanced Nutrition Center
- Advanced Pain Diagnostic & Solutions, Inc.
All providers in Sacramento, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. 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.