Organization Active NPI

Advanced Home Health and Hospice Inc

  • Community Based Hospice Care Agency
  • Sacramento, CA
National Provider Identifier
1194020073
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 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
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 551650 · All quality measures
Ownership
For-Profit
Certified
Jul 12, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

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

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.

NameRoleSinceShare
Excellin Holdings LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 15, 2021 8.53%
Uk Railways Pension Schemes (United Kingdom) Organization, London 5% Or Greater Indirect Ownership Interest Oct 15, 2021 12%
CCG-Ehh Management, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 15, 2021 88.6%
Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Sep 30, 2018 10.67%
Wonder Women LLC Organization, Camden, DE LLC 5% Or Greater Indirect Ownership Interest Oct 25, 2018 10%
Corinthian Equity Partners II, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 25, 2018
CCG-Ehh Blocker LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 25, 2018 74.7%
Justin T Crane Individual Corporate Director Jun 2, 2021
Gemini GP VI, LLC Organization, Wellesley Hills, MA LLC 5% Or Greater Indirect Ownership Interest Oct 25, 2018
Corinthian Co-Investment Fund, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 25, 2018 20%
Jason Burns Ghoshhajra Individual Corporate Director Jun 2, 2021
Excelin Health, LLC Organization, New York, NY LLC 5% Or Greater Direct Ownership Interest Sep 30, 2018 100%
Gemini Investors VI LP Organization, Wellesley Hills, MA 5% Or Greater Indirect Ownership Interest Oct 25, 2018 6%
Anthony Pucillo Individual Corporate Director Jun 2, 2021
Corealpha Private Equity Partners Co-Investment Fund V, LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Sep 30, 2018 12%
Alicia Christine Marr Individual Corporate OfficerChief Executive Officer Nov 6, 2019
Corporate Director Jun 2, 2021
Bijal K Shah Individual Corporate Director Jun 2, 2021
Excelin Health Inc Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest Sep 30, 2018 100%
WP Corealpha Co-Investment GP V, LLC Organization, Chicago, IL LLC 5% Or Greater Indirect Ownership Interest Oct 25, 2018
Corinthian Equity Fund II LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 25, 2018 27.8%
WP Global RR Investors, L.P. Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Oct 25, 2018 12%
Lisa Trull Individual W-2 Managing EmployeeAdministrator Jun 1, 2023
WP RR GP, LLC Organization, Chicago, IL LLC 5% Or Greater Indirect Ownership Interest Oct 25, 2018
Luke G Myers Individual Corporate OfficerPresident of Operations Aug 2, 2021
Sheena Meeker Individual W-2 Managing EmployeeAlt Dir. Patient Care Services Jan 7, 2022
Maureen a Spivack Individual 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.

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

Sources for this page

Verify at the official NPI Registry.