Active NPI
Caresouth HHA Holdings of Winchester LLC
- Durable Medical Equipment & Medical Supplies
- Tracy City, TN
National Provider Identifier
1295824902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 647
- Legal business name
- CARESOUTH HHA HOLDINGS OF WINCHESTER LLC
- Practice address
- 207 Highway 41
Tracy City, TN 37387 - Phone
- (931) 592-3454
- Fax
- (931) 592-3486
- NPI assigned
- Oct 12, 2006
- Organization subpart
- Yes
- Parent organization
- HEALTH SOUTH CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Walker
- Title
- Cfo
- Phone
- (214) 239-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 647 | TN | Primary |
Addresses
Primary practice location
207 Highway 41
Tracy City, TN 37387
Mailing address
6688 N Central Expressway
Suite 1300
Dallas, TX 75206-3950
Phone (214) 239-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080226000743 | TN | Part A Provider - Home Health Agency | 6103929625 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Murfreesboro, TN; Winchester, TN; Nashville, TN |
Home health agency certification: CCN 447108
- Legal name
- CARESOUTH HHA HOLDINGS OF WINCHESTER, LLC
- Doing business as
- ENHABIT HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 3, 1975
- Last certification
- Sep 27, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 2068 Cowan Hwy
Winchester, TN 37398-2446
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Home Health Agency
- Winchester, TN
- NPI 1912985425
O20080226000743
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Enhabit Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 3, 1975
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Caresouth HHA Holdings of Winchester LLC
- Part of
- Healthsouth Rehabilitat
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Winchester, TN
- NPI 1912985425
-
- Community Based Hospice Care Agency
- Nashville, TN
- NPI 1902348279
-
- Home Health Agency
- Owensboro, KY
- NPI 1902341399
Ownership & related parties
All disclosed owners & managing parties 20
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 |
|---|---|---|---|
| Tanya R Marion | Corporate Officer | Jul 1, 2022 | |
| Enhabit Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 100% |
| 8 Knots Management, LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 8.81% |
| Caresouth HHA Holdings, LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2015 | 100% |
| Deerfield Management Company LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 9.97% |
| Blackrock Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 7.8% |
| Collin S McQuiddy | Corporate Officer | Aug 5, 2024 | |
| Barbara a Jacobsmeyer | Corporate Officer | Jun 21, 2021 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Sarah W Braley | Corporate Officer | Feb 22, 2023 | |
| Julie D Jolley | Corporate Officer | Jun 4, 2021 | |
| Vanguard Group Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 5.91% |
| Enhabit Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2015 | 100% |
| Wells Fargo Bank, N.a. | 5% Or Greater Security Interest | Jun 30, 2022 | 100% |
| Advanced Homecare Management LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2015 | 100% |
| Dylan C Black | Corporate Officer | Feb 22, 2023 | |
| Jeanne L Kalvaitis | Corporate Officer | Jul 1, 2022 | |
| Caresouth Health System Inc | 5% Or Greater Indirect Ownership Interest | Nov 1, 2015 | 100% |
| Ryan T Solomon | Corporate Officer | Dec 9, 2024 | |
| Melissa Blair | W-2 Managing Employee | Mar 20, 2023 | |
| Sean P Richardson | Corporate Officer | Feb 22, 2023 |
Practitioners & affiliated clinicians
Affiliated clinicians 47
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1669556148
Home health agency
-
- Orthopaedic Surgery Physician
- Franklin, TN
- NPI 1689105538
Home health agency
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Franklin, TN
- NPI 1396713715
Home health agency
-
- Orthopaedic Surgery Physician
- Tullahoma, TN
- NPI 1881984037
Home health agency
-
- Internal Medicine Physician
- Tullahoma, TN
- NPI 1780797464
Home health agency
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1194084822
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1295824902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6688 N CENTRAL EXPRESSWAY",
"address_2": "SUITE 1300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063950",
"telephone_number": "214-239-6500",
"fax_number": "214-239-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HIGHWAY 41",
"city": "TRACY CITY",
"state": "TN",
"postal_code": "37387",
"telephone_number": "931-592-3454",
"fax_number": "931-592-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARESOUTH HHA HOLDINGS OF WINCHESTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH SOUTH CORPORATION",
"enumeration_date": "2006-10-12",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-239-6500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.