NPIMap

Organization Active NPI

American River Home Care

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1811317811
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN RIVER HOME CARE
Practice address
1451 River Park Dr
Suite 244
Sacramento, CA 95815-4507
Phone
(916) 209-4400
Fax
(916) 209-4401
NPI assigned
Apr 17, 2014
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Phillip Benjamin McMillan, RN
Title
Owner
Phone
(916) 515-8652

Specialties & licenses 1

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

Addresses

Primary practice location

1451 River Park Dr
Suite 244
Sacramento, CA 95815-4507

Mailing address

1451 River Park Dr
Suite 244
Sacramento, CA 95815-4507
Phone (916) 209-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519000003 CA Part A Provider - Home Health Agency 3375766470 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811317811. Details of each certification follow.

Home health agency certification: CCN 059665

Legal name
AMERICAN RIVER HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 3, 2015
Last certification
Apr 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 2014 in CA
Enrollment address
1451 River Park Dr
Ste 244
Sacramento, CA 95815-4521

Care Compare: Home health agency

Medicare Care Compare
Listed as
American River Home CareCCN 059665 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 3, 2015
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
05D2081506American River Home Care1451 River Park Drive, Suite 244, Sacramento, CA 95815Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory

Locations

1540 River Park Dr
Ste 112A
Sacramento, CA 95815
Phone (916) 515-8652

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Phillip B McMillan Individual 5% Or Greater Direct Ownership InterestPresident, Ceo, Director Aug 1, 2015 25.5%
Corporate OfficerPresident, Ceo Feb 28, 2014
Corporate DirectorPresident, Ceo Feb 28, 2014
Operational/Managerial ControlPresident, Ceo Apr 21, 2014
Dana Love McMillan Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Aug 1, 2015 25.5%
Corporate OfficerChief Financial Officer Apr 21, 2014
American River Home Office LLC Organization, Sacramento, CA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Aug 1, 2022 100%
Julie Marie Gebhardt Individual Corporate OfficerChief Operating Officer Jan 1, 2021
W-2 Managing EmployeeAdministrator Jul 1, 2022
Kenton a Weaver Individual 5% Or Greater Direct Ownership Interest Aug 1, 2015 49%

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 1

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 146

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

View all 146

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1811317811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR",
            "address_2": "SUITE 244",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154507",
            "telephone_number": "916-209-4400",
            "fax_number": "916-209-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR",
            "address_2": "SUITE 244",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154507",
            "telephone_number": "916-209-4400",
            "fax_number": "916-209-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RIVER HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-515-8652",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.