Amador Home Health – Home Health Agency, NPI 1174520027
Home Health Agency
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Amador Home Health
576 W. 900 S.
SUITE 260
WOOD CROSS, UT 840108127
Phone: (801) 397-4054
Fax: (801) 397-4196
Type: Mailing
245, New York Ranch Road, Jackson Rancheria Casino Resort, Jackson, California, 95642, United States
STE C
JACKSON, CA 956422147
Phone: (209) 223-3866
Fax: (209) 223-3882
Type: Location
598 W 900 S STE 220
WOODS CROSS, UT 840108195
Phone: (801) 397-4697
Fax: (801) 296-9117
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050713001277 | O | Home Health Agency | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84010)
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