NPIMap

Organization Active NPI

Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Manchester, KY
National Provider Identifier
1194744664
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150039 Issued in KY
Legal business name
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Practice address
509 Memorial Dr Ste 2
Manchester, KY 40962-6196
Phone
(606) 598-1969
NPI assigned
Jul 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Wheeler
Title
Cfo
Phone
(530) 545-1409

Other NPIs with the same Medicare PAC ID 12

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

Corporate family (same tax ID) 15

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

View all 15

Facilities with the same owner 85

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

View all 85

Affiliated clinicians 10

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventhealth Home HealthCCN 187052
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jun 1, 1974
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
18D0324878Adventhealth Home Health509 Memorial Drive, Suite 2, Manchester, KY 40962Provider-performed microscopyAug 31, 2026

Medicare participation

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

Home health agency certification: CCN 187052

Medicare enrollment files
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
Jun 1, 1974
Last certification
Jul 6, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
509 Memorial Dr
Ste 2
Manchester, KY 40962-6196

All disclosed owners & managing parties 13

Medicare enrollment files

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 OfficerVice Chair 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
Mary Roberts Individual W-2 Managing EmployeeAd; Jan 1, 2025
OtherAdministrator Jan 1, 2025
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
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
OtherChief 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
OtherChief Financial Officer Jan 1, 2025
Sandra L Randolph Individual Corporate OfficerSecretary Jan 1, 2025
Corporate DirectorDirector Jan 1, 2025

Change-of-ownership history 2

Medicare enrollment files
DateEventCounterparty
Jan 1, 2025 Change of OwnershipThis provider was the buyer Adventhealth Home Care ManchesterCCN 187052, FL, NPI 1194744664
Jan 1, 2025 Change of OwnershipThis provider was the seller Adventhealth Home HealthCCN 187052, KY, NPI 1194744664

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20251111003018 KY Part a Provider - Home Health Agency 9830133941 Practice locations: Manchester, KY

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Home Health and Hospice Inc (16 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 150039 KY Primary
Supports Brokerage Agency 251X00000X

Addresses

NPPES NPI Registry

Primary practice location

509 Memorial Dr Ste 2
Manchester, KY 40962-6196

Mailing address

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-1969

Other practice location 1

94 Marie Langdon Dr Ste 6
Manchester, KY 40962-6345
Phone (606) 598-1969

Other practice location 2

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

Other identifiers 19

NPPES NPI Registry
IdentifierTypeStateIssuer
000000054585OtherKYBLUE CROSS BLUE SHIELD KY
0005154214OtherKYAETNA
001703971OtherWVBLUE CROSS BLUE SHIELD WV
100443100OtherKYPASSPOST HEALTH PLAN
610594620OtherKYTRICARE
610594620OtherKYMISC INSURANCE
65265OtherKYMEMORIAL EMPLOYEES
A87696OtherOHMEDICAID OHIO
100443100OtherKYMEDICAID PENDING
65265OtherKYANTHEM BLUE CROSS
100033950AOtherININDIANA MEDICAID
180043OtherKYMEDICARE MANAGED CARE
34002808MedicaidKY
610594620OtherKYCHAMPVA
1004431OtherTNMEDICAID TENNESSEE
1038912OtherWVBRICK STREET MTL WV WC
4200280MedicaidKY
5000038OtherKYUNITED HEALTHCARE
30523000OtherKYBLACK LUNG

Other names 4

NPPES NPI Registry
  • ADVENTHEALTH HOME HEALTH Doing business as
  • AdventHealth Home Care Manchester Doing business as
  • Memorial Hospital Home Health Doing business as
  • MEMORIAL HOSPITAL INC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2025.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1194744664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388",
            "telephone_number": "606-598-1969",
            "fax_number": "606-598-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Marie Langdon Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626345",
            "country_code": "US",
            "telephone_number": "606-598-1969",
            "fax_number": "606-598-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Marie Langdon Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626388",
            "country_code": "US",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVENTHEALTH HOME HEALTH AND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "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": "KY",
            "license": "150039",
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KY",
            "identifier": "000000054585",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005154214",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WV",
            "identifier": "001703971",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPOST HEALTH PLAN",
            "identifier": "100443100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "610594620",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISC INSURANCE",
            "identifier": "610594620",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL EMPLOYEES",
            "identifier": "65265",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OHIO",
            "identifier": "A87696",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PENDING",
            "identifier": "100443100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "65265",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA MEDICAID",
            "identifier": "100033950A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MANAGED CARE",
            "identifier": "180043",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34002808",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPVA",
            "identifier": "610594620",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TENNESSEE",
            "identifier": "1004431",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICK STREET MTL WV WC",
            "identifier": "1038912",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000038",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "30523000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Home Care Manchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEMORIAL HOSPITAL INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.