NPIMap

Organization Active NPI

Advantage Home Health Services, East, LLC

  • Home Health Agency
  • Pottsville, PA
National Provider Identifier
1487075016
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4222204 Issued in PA
Legal business name
ADVANTAGE HOME HEALTH SERVICES, EAST, LLC
Practice address
1502 Route 61 Hwy S
Pottsville, PA 17901-8409
Phone
(570) 668-6300
NPI assigned
Dec 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Amy Hancock
Title
Ceo
Phone
(412) 440-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4222204 PA Primary

Addresses

Primary practice location

1502 Route 61 Hwy S
Pottsville, PA 17901-8409

Mailing address

5035 Clairton Blvd
Pittsburgh, PA 15236-2103
Phone (412) 440-0126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421001757 PA Part A Provider - Home Health Agency 3476785767 Practice locations: Pottsville, PA

Home health agency certification: CCN 398225

Legal name
ADVANTAGE HOME HEALTH SERVICES EAST LLC
Doing business as
ADVANTAGE HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 7, 2014
Last certification
Jul 30, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 22, 2013 in PA
Enrollment address
1502 Route 61 Hwy S
Pottsville, PA 17901-8409
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advantage Home Health and HospiceCCN 398225
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 7, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Advantage Home Health Services East LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1502 Route 61 Hwy S
Pottsville, PA 17901
Phone (570) 593-5484

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
William Raymond Henry Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2020 12.5%
Edward Austin Hancock Individual W-2 Managing EmployeeAd; Apr 1, 2025
Ryan Foster Individual Corporate OfficerChief Executive Officer May 19, 2026
W-2 Managing EmployeeChief Executive Officer Feb 16, 2026 100%
Advantagecare Holdco LLC Organization, Greenwich, CT Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Operational/Managerial Control Dec 6, 2019
HPC-Acr Investors LLC Organization, Greenwich, CT Created for acquisition, LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 31, 2020 75%
Amy Marie Hancock Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2020 12.5%
Private Equity Co-Investment Opportunities Fund II LP Organization, West Conshohocken, PA Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2020 69.37%

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1487075016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362103",
            "telephone_number": "412-440-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 ROUTE 61 HWY S",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018409",
            "telephone_number": "570-668-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME HEALTH SERVICES, EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-440-0126"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "4222204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.