NPIMap

Organization Active NPI

Caresouth HHA Holdings of South Carolina, LLC

Doing business as Enhabit Home Health

  • Home Health Agency
  • Pooler, GA
National Provider Identifier
1649796582
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARESOUTH HHA HOLDINGS OF SOUTH CAROLINA, LLC
Doing business as
Enhabit Home Health
Practice address
125 Southern Junction Blvd Ste 207
Pooler, GA 31322-2214
Phone
(912) 330-7394
Fax
(912) 330-7399
NPI assigned
Aug 22, 2017
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

125 Southern Junction Blvd Ste 207
Pooler, GA 31322-2214

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HH.GA.SVN@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130002764 GA Part A Provider - Home Health Agency 3678700705 Practice locations: Pooler, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649796582. Details of each certification follow.

Home health agency certification: CCN 117150

Legal name
CARESOUTH HHA HOLDINGS OF SOUTH CAROLINA LLC
Doing business as
ENHABIT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 2007
Last certification
Jun 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
125 Southern Junction Blvd
Ste 207
Pooler, GA 31322-2214

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
Enhabit Home HealthCCN 117150 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 29, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1063241Caresouth HHA Holdings of South Carolina, LLC125 Southern Junction Blvd, Suite 207, Pooler, GA 31322Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caresouth HHA Holdings of South Carolina 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

125 Southern Junction Blvd
Ste 200
Pooler, GA 31322
Phone (912) 330-7394

125 Southern Junction Blvd
Ste 207
Pooler, GA 31322
Phone (912) 330-7394

37 Varden Dr
Ste A
Aiken, SC 29803
Phone (803) 335-0977

37 Varden Dr
Ste C
Aiken, SC 29803
Phone (803) 335-0977

1 Westbury Way
Ste 250
Bluffton, SC 29910
Phone (843) 837-4404

1400 Browning Rd
Ste 150
Columbia, SC 29210
Phone (803) 638-4212

Interoperability endpoints

  • Direct secure messaging: enhabit.hh.ga.svn@direct.hchb.com

Ownership & related parties

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.

NameRoleSinceShare
Patrice H Wickham Individual W-2 Managing EmployeeAdministrator Mar 17, 2023
Tanya R Marion Individual Corporate OfficerChief HR Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Caresouth HHA Holdings, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2017 100%
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2024 7.8%
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Officer Jun 21, 2021
Operational/Managerial ControlPresident & Ceo/Chain Home Office Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 2, 2023
Julie D Jolley Individual Corporate OfficerEvp of Home Health Operations / Ao Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2024 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2014 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2017 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel, Secretary & Aut Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate OfficerExec VP of Hospice Operations Jul 1, 2022
Caresouth Health System Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2017 100%
Ryan T Solomon Individual Corporate OfficerChief Financial Officer & Author Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Facilities with the same owner 196

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

View all 196

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2017 Change of OwnershipThis provider was the buyer Charlton Visiting Nurses Service of Greater Savannah AreaCCN 117150, GA, NPI 1013005784

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1649796582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SOUTHERN JUNCTION BLVD STE 207",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222214",
            "telephone_number": "912-330-7394",
            "fax_number": "912-330-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HH.GA.SVN@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "125 Southern Junction Blvd Ste 207",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313222214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.