Active NPI
Advanced Home Health Inc
- Home Health Agency
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 100000439
- 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, 2024
- 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) 978-0744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0426 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 4362 Auburn Blvd
Ste 300
Sacramento, CA 95841-4107
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Advanced Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 12, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Excellin Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 100% |
| Uk Railways Pension Schemes (United Kingdom) | 5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | 13% |
| Kristi M Halva | Corporate Officer | Jan 10, 2022 | |
| W-2 Managing Employee | Jan 10, 2022 | ||
| Other | Jan 10, 2022 | ||
| CCG-Ehh Management, LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 84% |
| Melissa McGuire | Contracted Managing Employee | Jan 1, 2022 | |
| Other | Jan 1, 2022 | ||
| Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 11% |
| Wonder Women LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 8% |
| Corinthian Equity Partners II, L.P. | 5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | |
| CCG-Ehh Blocker LLC | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 72% |
| Gemini GP VI, LLC | 5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | |
| Corinthian Co-Investment Fund, L.P. | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 21% |
| Excelin Health, LLC | 5% Or Greater Direct Ownership Interest | Sep 30, 2018 | 100% |
| Gemini Investors VI LP | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 6% |
| Kristen Schievelbein | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jul 1, 2023 | ||
| Other | Jul 1, 2023 | ||
| Corealpha Private Equity Partners Co-Investment Fund V, LP | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 13% |
| 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 15, 2021 | |
| Corinthian Equity Fund II LP | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 30% |
| WP Global RR Investors, L.P. | 5% Or Greater Indirect Ownership Interest | Sep 30, 2018 | 13% |
| WP RR GP, LLC | 5% Or Greater Indirect Ownership Interest | Oct 15, 2021 | |
| Amberley Donna Rojas | W-2 Managing Employee | Sep 1, 2023 | |
| Santander (CR Trustee) Limited (United Kingdom) | 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.
-
- Community Based Hospice Care Agency
- Sacramento, CA
- NPI 1194020073
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
Practitioners & affiliated clinicians
Affiliated clinicians 109
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Roseville, CA
- NPI 1720200017
Home health agency
-
- Internal Medicine Physician
- Grass Valley, CA
- NPI 1760428452
Home health agency
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1407352883
Home health agency
-
- Physician Assistant
- Grass Valley, CA
- NPI 1245514512
Home health agency
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1477741973
Home health agency
-
- Internal Medicine Physician
- Citrus Heights, CA
- NPI 1629383344
Home health agency
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
- Advance Kids
- Advance Kids
- Advanced Cardiac & Vascular Institute Inc
- Advanced Foothills Medics
- Advanced Home Health and Hospice Inc
- Advanced Infusion Systems, LLC (PharMerica)
- Advanced Mobile Wound Healing Physician Assistant, PC (CuraWound Mobile Specialists)
- Advanced Nutrition Center
- Advanced Pain Diagnostic & Solutions, Inc.
- Advanced Practice Nursing PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.