Active NPI
Advanced Home Health and Hospice Inc
- Community Based Hospice Care Agency
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
- Last updated
- Oct 6, 2022
- 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
- Alicia Marr
- Title
- Ceo
- Phone
- (916) 978-5807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000927 | CA | Part A Provider - Hospice | 0446425821 | Practice locations: Sacramento, CA; Yuba City, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194020073. Details of each certification follow.
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
- Incorporated
- Jan 19, 2011 in CA
- Enrollment address
- 4362 Auburn Blvd
Sacramento, CA 95841-4107
Care Compare: Hospice
Medicare Care Compare- Listed as
- Advanced Home Health and Hospice, Inc
- Ownership
- For-Profit
- Certified
- Jul 12, 2012
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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
Ownership & related parties
All disclosed owners & managing parties 26
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 |
|---|---|---|---|
| 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 |
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Sacramento, CA
- NPI 1306069737
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Corinth
-
- Home Health Agency
- Walnut Creek, CA
- NPI 1457720617
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Excelin
-
- Home Health Agency
- San Diego, CA
- NPI 1649669938
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Excelin
-
dba Onmycare Home Health
- Home Health Agency
- Fremont, CA
- NPI 1710370317
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Excelin
-
dba Advanced Home Health Services
- Home Health Agency
- Irving, TX
- NPI 1053352351
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Corinth
-
dba Advanced Home Health Services
- Home Health Agency
- Seguin, TX
- NPI 1598701716
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Corinth
-
dba Advanced Hospice of Texas
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1740815620
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Excelin Health Inc, Excelin Health, L
-
dba Advanced Home Health Services
- Home Health Agency
- Houston, TX
- NPI 1053459594
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Corinth
-
dba Grace Home Health
- Home Health Agency
- Lafayette, LA
- NPI 1932579414
CCG-Ehh Blocker LLC, CCG-Ehh Management, LLC, Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP, Corealpha Private Equity Partners Co-Investment Fund V, LP, Corinthian Co-Investment Fund, L.P., Corinthian Equity Fund II LP, Corinth
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1194020073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4362 AUBURN BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414107",
"telephone_number": "916-678-5807",
"fax_number": "916-978-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4362 AUBURN BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414107",
"telephone_number": "916-678-5807",
"fax_number": "916-978-0707"
}
],
"practiceLocations": [
{
"address_1": "1528 Plumas Ct Ste 400",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959912973",
"country_code": "US",
"telephone_number": "530-923-4162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED HOME HEALTH AND HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-24",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A",
"authorized_official_last_name": "MARR",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-978-5807"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Advance Education, Inc. (Capitol Autism Services)
- Advance Kids
- Advance Kids
- Advanced Cardiac & Vascular Institute Inc
- Advanced Foothills Medics
- Advanced Home Health Inc
- Advanced Infusion Systems, LLC (PharMerica)
- Advanced Mobile Wound Healing Physician Assistant, PC (CuraWound Mobile Specialists)
- Advanced Nutrition Center
- Advanced Pain Diagnostic & Solutions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.