Advanced Home Health Inc
Organization Active NPI Home Health Agency · Sacramento, CA
NPI 1306069737 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1306069737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 100000439 (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
- Organization subpart
- No
Authorized official
- Name
- Alicia Marr
- Title
- Ceo
- Phone
- (916) 978-0744
Facilities with the same owner 9
Affiliated clinicians 110
-
Faafouina S Afato, M.D.
-
Michael D Andya, M.D.
-
Robert Stephen Avilla, D.O.
-
Narinder S. Basra, M.D.
-
Brigitte Lee Berry, M.D.
-
Orin Bloch, M.D.
-
Todd Bouchier, MD
-
Andrew G Burt, MD
-
Olivia Marie Campa, M.D.
-
Ruchika Sunil Chhibar, M.D.
-
Elizabeth M. Claydon, M.D.
-
Susan Dyer Claydon, N.P.
-
David Tom Cooke, M.D.
-
Branden John Cord, MD, PHD
-
Molly B Davis, M.D.
-
Jeremy Mark Demartini, M.D.
-
Jennifer Elaine Draper, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Advanced Home Health, Inc
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Feb 12, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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 · Proprietary
- Enrollment address
- 4362 Auburn Blvd
Ste 300
Sacramento, CA 95841-4107
All disclosed owners & managing parties 22
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070614000699 | CA | Part a Provider - Home Health Agency | 1153429147 | Practice locations: Sacramento, CA; Yuba City, CA |
National Provider Directory
Locations
4362 Auburn Blvd
Ste 300
Sacramento, CA 95841
Phone (916) 978-0744
4354 Auburn Blvd
Ste 300
Sacramento, CA 95841
Phone (916) 978-0744
1528 Plumas Ct
Ste 300
Yuba City, CA 95991
Phone (530) 751-5166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 100000439 | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0426 | Medicaid | CA |
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All providers in Sacramento, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.