Organization Active NPI

Advanced Home Health Inc

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1306069737
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100000439 Issued in CA
Legal business name
ADVANCED HOME HEALTH INC
Practice address
4362 Auburn Blvd Ste 300
Sacramento, CA 95841-4107
Phone
(916) 978-0744
Fax
(916) 978-0745
NPI assigned
Apr 11, 2007
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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) 978-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 100000439 CA Primary

Addresses

Primary practice location

4362 Auburn Blvd Ste 300
Sacramento, CA 95841-4107

Mailing address

4362 Auburn Blvd Ste 300
Sacramento, CA 95841-4107
Phone (916) 978-0744

Other practice location 1

1528 Plumas Ct Ste 300
Yuba City, CA 95991-2973
Phone (530) 923-4162

Other identifiers 1

IdentifierTypeStateIssuer
05-0426MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000699 CA Part A Provider - Home Health Agency 1153429147 Practice locations: Sacramento, CA; Yuba City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306069737. Details of each certification follow.

Home health agency certification: CCN 058426

Legal name
ADVANCED HOME HEALTH INC
Doing business as
ADVANCED HOME HEALTH AND HOSPICE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 12, 2008
Last certification
Sep 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
4362 Auburn Blvd
Ste 300
Sacramento, CA 95841-4107
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advanced Home Health, IncCCN 058426 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 12, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4362 Auburn Blvd
Ste 300
Sacramento, CA 95841
Phone (916) 978-0744

1528 Plumas Ct
Ste 400
Yuba City, CA 95991
Phone (530) 923-4162

Ownership & related parties

All disclosed owners & managing parties 22

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 Financial institution, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 100%
Uk Railways Pension Schemes (United Kingdom) Organization, London, UT Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 15, 2021 13%
Kristi M Halva Individual Corporate OfficerPresident of Operations Jan 10, 2022
W-2 Managing EmployeePresident of Operations Jan 10, 2022
OtherPresident of Operations Jan 10, 2022
CCG-Ehh Management, LLC Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 84%
Melissa McGuire Individual Contracted Managing Employee Jan 1, 2022
Other Jan 1, 2022
Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 11%
Wonder Women LLC Organization, Camden, DE Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 8%
Corinthian Equity Partners II, L.P. Organization, New York, NY Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 15, 2021
CCG-Ehh Blocker LLC Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 72%
Gemini GP VI, LLC Organization, Wellesley Hills, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 15, 2021
Corinthian Co-Investment Fund, L.P. Organization, New York, NY Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 21%
Excelin Health, LLC Organization, New York, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 30, 2018 100%
Gemini Investors VI LP Organization, Wellesley, MA Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 6%
Kristen Schievelbein Individual Corporate OfficerPresident of Operations Jan 1, 2024
Corporate Director Jul 1, 2023
OtherAuthorized Official Jul 1, 2023
Corealpha Private Equity Partners Co-Investment Fund V, LP Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 13%
Excelin Health Inc Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 100%
WP Corealpha Co-Investment GP V, LLC Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 15, 2021
Corinthian Equity Fund II LP Organization, New York, NY Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 30%
WP Global RR Investors, L.P. Organization, Chicago, IL Medical staffing company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2018 13%
WP RR GP, LLC Organization, Chicago, IL Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 15, 2021
Amberley Donna Rojas Individual W-2 Managing EmployeeAd; Sep 1, 2023
Santander (CR Trustee) Limited (United Kingdom) Organization, New York, NY Financial institution 5% Or Greater Indirect Ownership Interest Oct 15, 2021 9%

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 109

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

View all 109

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1306069737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 AUBURN BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414107",
            "telephone_number": "916-978-0744",
            "fax_number": "916-978-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 AUBURN BLVD STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414107",
            "telephone_number": "916-978-0744",
            "fax_number": "916-978-0745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Plumas Ct Ste 300",
            "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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-978-0744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "100000439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05-0426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.