NPIMap

Organization Active NPI

Advantage Home Health Services, LLC

  • Home Health Agency
  • Pittsburgh, PA
National Provider Identifier
1811949217
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02710501 Issued in PA
Legal business name
ADVANTAGE HOME HEALTH SERVICES, LLC
Practice address
5035 Clairton Blvd
Pittsburgh, PA 15236
Phone
(412) 440-0142
Fax
(412) 440-0143
NPI assigned
May 16, 2006
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Amy Hancock
Title
Administrator
Phone
(412) 440-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02710501 PA Primary

Addresses

Primary practice location

5035 Clairton Blvd
Pittsburgh, PA 15236

Mailing address

500 N Lewis Run Rd
Suite 111
Pittsburgh, PA 15122-3056
Phone (412) 267-5028

Other identifiers 1

IdentifierTypeStateIssuer
0772OtherPAHIGHMARK PROVIDER NUMBER

Other names 1

  • parent Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060522000168 PA Part A Provider - Home Health Agency 1759390321 Practice locations: Pittsburgh, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811949217. Details of each certification follow.

Home health agency certification: CCN 398046

Legal name
ADVANTAGE HOME HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 2006
Last certification
Feb 19, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 7, 2005 in PA
Enrollment address
151 Roessler Rd
Ste 525
Pittsburgh, PA 15220-1048

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
Advantage Home Health Services, LLCCCN 398046 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 8, 2006
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
39D2133478Advantage Home Health Services, LLC5035 Clairton Blvd, Pittsburgh, PA 15236Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Advantage Home Health Services LLC2 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.

Locations

500 N Lewis Run Rd
Ste 111
West Mifflin, PA 15122
Phone (412) 267-5028

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, 2026
Ryan Foster Individual Corporate OfficerChief Executive Officer May 18, 2026
W-2 Managing EmployeeCeo Apr 1, 2026 100%
Advantagecare Holdco LLC Organization, Greenwich, CT Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
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

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 5

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1811949217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN RD",
            "address_2": "SUITE 111",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151223056",
            "telephone_number": "412-267-5028",
            "fax_number": "412-267-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15236",
            "telephone_number": "412-440-0142",
            "fax_number": "412-440-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-440-0142"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02710501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "0772",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "parent",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.