Advanced Home Health Northbay Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001265 Issued in CA

Legal business name

ADVANCED HOME HEALTH NORTHBAY INC

Practice address

2161 Ygnacio Valley Rd Ste 210
Walnut Creek, CA 94598-3351

Phone

(707) 643-2100

Fax

(707) 643-4028

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Kristi Halva

Title

President

Phone

(925) 705-4950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059251

Legal name

ADVANCED HOME HEALTH NORTHBAY INC

Doing business as

ADVANCED HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 13, 2010

Last certification

Jun 27, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2455 Bennett Valley Rd
Ste C217
Santa Rosa, CA 95404-5674

Listed as

Advanced Home Health Northbay, IncCCN 059251

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 13, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 19

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

Facilities with the same owner 9

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

• Advanced Home Health and Hospice Inc

  • 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, Excelin

  CMS ownership
• Advanced Home Health Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1306069737

  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

  CMS ownership
• Advanced Home Health San Diego Inc

  • 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

  CMS ownership
• Onmycare LLC

  • 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

  CMS ownership
• Advanced HH, LLC

  • 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, Excelin

  CMS ownership
• Advanced HH, LLC

  • 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, Excelin

  CMS ownership
• Ally Hospice LLC

  • 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

  CMS ownership
• Home Therapeutic Solutions, LLC

  • 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, Excelin

  CMS ownership
• Nations Healthcare, L.L.C.

  • 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, Excelin

  CMS ownership

Affiliated clinicians 4

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

• Corinne Nicole Duncan, NP

  • Primary Care Nurse Practitioner
  • San Francisco, CA
  • NPI 1487974374

  Home health agency

  Care Compare affiliation
• Ray Mak

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1972253292

  Home health agency

  Care Compare affiliation
• Lingjin Meng

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1730574575

  Home health agency

  Care Compare affiliation
• James G. Trapnell, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1073526729

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1457720617",
    "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": "925-705-4950",
            "fax_number": "925-705-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983351",
            "telephone_number": "707-643-2100",
            "fax_number": "707-643-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME HEALTH NORTHBAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "HALVA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-705-4950"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "550001265",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Walnut Creek, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.

Verify at the official NPI Registry.