NPIMap

Organization Active NPI

Amicita Home Health LLC

Doing business as Amicita Home Health

  • Home Health Agency
  • Albany, GA
National Provider Identifier
1730168865
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
019-224 Issued in GA
Legal business name
AMICITA HOME HEALTH LLC
Doing business as
Amicita Home Health
Practice address
507 N Jefferson St
Albany, GA 31701-2354
Phone
(229) 725-3500
Fax
(229) 725-2700
NPI assigned
Jan 17, 2006
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Mrs. Sarah A Thompson, RN, CHPN
Title
Vice President of Operations
Phone
(912) 538-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 019224 GA
Home Health Agency 251E00000X 019-224 GA Primary

Addresses

Primary practice location

507 N Jefferson St
Albany, GA 31701-2354

Mailing address

806 Maple Dr
Vidalia, GA 30474-7208
Phone (912) 538-8000

Other names 1

  • Amicita Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120907000138 GA Part A Provider - Home Health Agency 3870618903 Practice locations: Albany, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730168865. Details of each certification follow.

Home health agency certification: CCN 117147

Legal name
AMICITA HOME HEALTH LLC
Doing business as
CHSGA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 16, 2005
Last certification
Jul 12, 2017
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Incorporated
Dec 29, 2009 in GA
Enrollment address
507 N Jefferson St
Albany, GA 31701-2354

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Chsga Home HealthCCN 117147 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 16, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology

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
11D1008401Amicita Home Health, LLC507 N Jefferson Street, Albany, GA 31701Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amicita Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

825 Baxter St
Athens, GA 30605
Phone (706) 549-5558

101 Walton Way
Hazlehurst, GA 31539
Phone (912) 379-9914

167 W Orange St
Jesup, GA 31545
Phone (912) 427-8299

248 NE Broad St
Jesup, GA 31546
Phone (912) 427-8299

1 SW Broad St
Metter, GA 30439
Phone (912) 685-3834

53 Williams St
#B
Reidsville, GA 30453
Phone (912) 557-6787

806 Maple Dr
Vidalia, GA 30474
Phone (912) 538-0465

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Home and Community Services Inc Organization, Macon, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Michael D Satchell Individual Contracted Managing EmployeeMD; Jul 1, 2019
Debbra D Gilbert Individual Corporate OfficerAdministrator Feb 1, 2024 100%
W-2 Managing EmployeeAdministrator Feb 1, 2024 100%
Michelle Moore-Andrews Individual Corporate OfficerSenior VP Oct 19, 2023 100%
W-2 Managing EmployeeSenior VP Oct 19, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1730168865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747208",
            "telephone_number": "912-538-8000",
            "fax_number": "912-538-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012354",
            "telephone_number": "229-725-3500",
            "fax_number": "229-725-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICITA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "912-538-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CHPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "019224",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "019-224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amicita Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.