NPIMap

Organization Active NPI

Phoebe Putney Memorial Hospital Inc

Doing business as Phoebe Home Health

  • Home Health Agency
  • Albany, GA
National Provider Identifier
1790766863
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
088-140 Issued in GA
Legal business name
PHOEBE PUTNEY MEMORIAL HOSPITAL INC
Doing business as
Phoebe Home Health
Phoebe Home Care
Practice address
810 14TH Ave
Albany, GA 31701-1304
Phone
(229) 312-9300
NPI assigned
Nov 7, 2005
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOEBE PUTNEY MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Rebecca Kendall
Title
Director of Reimbursment
Phone
(229) 312-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 088-140 GA Primary

Addresses

Primary practice location

810 14TH Ave
Albany, GA 31701-1304

Mailing address

810 14TH Ave
Albany, GA 31701-1304
Phone (229) 312-9300

Other practice location 1

320 Foundation Ln
Albany, GA 31707-5862
Phone (229) 312-9300

Other names 2

  • PHOEBE HOME HEALTH Doing business as
  • Phoebe Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000107 GA Part A Provider - Home Health Agency 4486559549 Practice locations: Albany, GA; Americus, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790766863. Details of each certification follow.

Home health agency certification: CCN 117100

Legal name
PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.
Doing business as
PHOEBE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 19, 1991
Last certification
Oct 25, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 1990 in GA
Enrollment address
810 14TH Ave
Albany, GA 31701-1304

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Phoebe Home HealthCCN 117100 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Nov 19, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Phoebe Putney Mem Hos in30 organizations share this tax ID, including this one
Part of
Phoebe Putney Mem Hos in

Other organizations with this tax ID 29

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

View all 29

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

804 14th Ave
Albany, GA 31701

810 14th Ave
Albany, GA 31701
Phone (229) 312-9300

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Chinyelu Ofodile Individual Corporate OfficerVolunteer Board Member Jan 9, 2025
Karen Thornton Individual Corporate OfficerVolunteer Board Member Apr 13, 2026
Marvin Laster Individual Corporate OfficerVolunteer Board Member Nov 30, 2017
Jenny Yin Savelle Individual Corporate OfficerVolunteer Board Member Jan 1, 2023
James E Black Individual Corporate OfficerVolunteer Board Member Jan 9, 2025
Phoebe Putney Health Systems Inc Organization, Albany, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 20, 2017 100%
William J McAfee Individual Corporate OfficerVolunteer Board Member Nov 30, 2017
Pamela Green Jackson Individual Corporate OfficerVolunteer Board Member Jan 1, 2023
Scott Steiner Individual Corporate OfficerCeo Mar 1, 2019
Richard Doherty Individual Corporate OfficerVolunteer Board Member Apr 13, 2026
Derek J Heard Individual Corporate OfficerVolunteer Board Member Jan 1, 2023
William Griffin Individual Corporate OfficerVolunteer Board Member Jan 9, 2025
Brian a Church Individual Corporate OfficerCfo Aug 1, 2015
Operational/Managerial ControlCfo Aug 1, 2015
James Webb Individual Corporate OfficerVolunteer Board Member Nov 30, 2017
Tiera a Barron Individual Corporate OfficerVolunteer Board Member Jan 9, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 10

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

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1790766863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 14TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011304",
            "telephone_number": "229-312-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 14TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011304",
            "telephone_number": "229-312-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Foundation Ln",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317075862",
            "country_code": "US",
            "telephone_number": "229-312-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOEBE PUTNEY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOEBE PUTNEY MEMORIAL HOSPITAL INC",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSMENT",
        "authorized_official_telephone_number": "229-312-6711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "088-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOEBE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoebe Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoebe Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.