Organization Active NPI

Sta-Home Health Agency of Jackson, Inc.

Doing business as AccentCare Home Health of Jackson

  • Home Health Agency
  • Clinton, MS
National Provider Identifier
1356482749
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11195 Issued in MS
Legal business name
STA-HOME HEALTH AGENCY OF JACKSON, INC.
Doing business as
AccentCare Home Health of Jackson
Practice address
130 Fairmont St Ste a
Clinton, MS 39056
Phone
(601) 961-4367
NPI assigned
Feb 9, 2007
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Siscel
Title
VP Legal
Phone
(601) 961-4367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11195 MS Primary

Addresses

Primary practice location

130 Fairmont St Ste a
Clinton, MS 39056

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Phone (972) 201-3819

Other identifiers 1

IdentifierTypeStateIssuer
00770108MedicaidMS

Other names 1

  • AccentCare Home Health of Jackson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000204 MS Part A Provider - Home Health Agency 7214028661 Practice locations: Gluckstadt, MS; Lexington, MS; Magee, MS; Natchez, MS; Flowood, MS; Gloster, MS; Brookhaven, MS; Clinton, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356482749. Details of each certification follow.

Home health agency certification: CCN 257102

Legal name
STA-HOME HEALTH AGENCY OF JACKSON, INC.
Doing business as
ACCENTCARE HOME HEALTH OF JACKSON
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 1976
Last certification
Aug 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
130 Fairmont St
Ste a
Clinton, MS 39056-4714

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of JacksonCCN 257102 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 12, 1976
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 (25 of 27)

119 E Jackson St
Belzoni, MS 39038
Phone (662) 247-3256

105 Whitebrook Dr
Brookhaven, MS 39601
Phone (601) 823-3477

510 Highway 51 N
#B
Brookhaven, MS 39601
Phone (301) 823-3477

130 Fairmont St
#A
Clinton, MS 39056
Phone (601) 961-4367

413 Lee Ave
Crystal Spgs, MS 39059

101 W Marion Ave
Crystal Springs, MS 39059
Phone (601) 892-5243

3500 Lakeland Dr
Ste 521
Flowood, MS 39232
Phone (601) 939-2978

3500 Lakeland Dr
Ste 525
Flowood, MS 39232
Phone (601) 898-0230

4205 Lakeland Dr
Flowood, MS 39232
Phone (601) 825-4465

539 Deerfield Dr
Forest, MS 39074
Phone (601) 469-2245

434A N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-7316

102 Lexington Dr
#200
Gluckstadt, MS 39110
Phone (601) 898-0230

1300 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 226-8000

902 Highway 82 W
Indianola, MS 38751
Phone (662) 887-2644

406 Briarwood Dr
Ste 200
Jackson, MS 39206
Phone (601) 956-5100

833 E River Pl
Jackson, MS 39202
Phone (601) 961-4367

109 Ridgewood Cir
Kosciusko, MS 39090

108 Carrollton Ave
Lexington, MS 39095

222 Court Sq
Ste A
Lexington, MS 39095
Phone (662) 834-2965

22747 Highway 12
Lexington, MS 39095
Phone (662) 834-2965

111 Colony Crossing Way
Ste 430
Madison, MS 39110
Phone (601) 715-3053

1573 Simpson Highway 49
Ste 4
Magee, MS 39111
Phone (601) 867-3993

2301 15TH St
Meridian, MS 39301

113 Jefferson Davis Blvd
Natchez, MS 39120

125 Scanlan St
Newton, MS 39345

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Tortorella Individual Corporate OfficerPresident Dec 14, 2023
Advent International Gpe VIII-B, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Horizon Acquisition Co Inc. Organization, Boston, MA Created for acquisition, Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Advent International Gpe VIII-H, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Horizon Group Holdings Intermediate 2, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Seasons Rollover Holdings LLC Organization, Rosemont, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Horizon Group Holdings Intermediate 1, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Advent International Gpe VIII-I, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Horizon Group Holdings, L.P. Organization, Boston, MA Created for acquisition, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 20, 2019 100%
Talmadge Robinson Individual W-2 Managing EmployeeAd; Oct 21, 2025
Advent International Gpe VIII-J LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Advent International Gpe VIII-B-1, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Advent International Gpe VIII-B-3, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Advent International Gpe VIII-a LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2020
Sta-Home Health & Hospice Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 15, 2012 100%
Accentcare, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2017 100%
Operational/Managerial Control Apr 1, 2017 100%
Dena Schwartz-Doty Individual Corporate Officer Apr 1, 2017
Pluto Acquisition I Inc Organization, Dallas, TX Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2017 100%

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 324

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

View all 324

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1356482749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857",
            "telephone_number": "972-201-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIRMONT ST STE A",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-961-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STA-HOME HEALTH AGENCY OF JACKSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-05-02",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SISCEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP LEGAL",
        "authorized_official_telephone_number": "601-961-4367"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770108",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Home Health of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.