NPIMap

Organization Active NPI

Vinson Hall at Home LLC

  • Home Health Agency
  • MC Lean, VA
National Provider Identifier
1003559931
Registry record updated Apr 19, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VINSON HALL AT HOME LLC
Practice address
6251 Old Dominion Dr
MC Lean, VA 22101-4827
Phone
(703) 970-3710
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Lisa Desmond, RN
Title
Chief Nursing Officer
Phone
(703) 970-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6251 Old Dominion Dr
MC Lean, VA 22101-4827

Mailing address

6251 Old Dominion Dr
MC Lean, VA 22101-4827
Phone (703) 970-3710

Other names 1

  • Vinson Hall at Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@vinson-hall.direct.kno2fy.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805002183 VA Part A Provider - Home Health Agency 6800278987 Practice locations: MC Lean, VA

Home health agency certification: CCN 497803

Legal name
VINSON HALL AT HOME LLC
Doing business as
VINSON HALL AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 2023
Last certification
May 25, 2023
Organization structure
LLCNon-profit
Enrollment address
6251 Old Dominion Dr
MC Lean, VA 22101-4827

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vinson Hall at Home LLCCCN 497803
Overall star rating
2.5 of 5
Ownership
-
Certified
Jun 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Walter Slocum Individual Corporate Director Jun 1, 2022
Fred Bova Individual Corporate OfficerChief Financial Officer Jun 1, 2022
Nmcgr Organization, MC Lean, VA Corporation, Non-profit Operational/Managerial Control Apr 8, 2022 100%
Lisa Desmond Individual W-2 Managing EmployeeAlternate Administrator May 17, 2022
Elyn Lawhorn Individual W-2 Managing EmployeeOperations Manager/Administrator May 24, 2022
Annie Andrews Individual Corporate Director Jun 1, 2022
Michael Browne Individual Corporate Director Jun 1, 2022
Elizabeth Bush Individual Operational/Managerial ControlCeo Jun 1, 2022
Cynthia Dullea Individual Corporate Director Jun 1, 2022

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1003559931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 OLD DOMINION DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014827",
            "telephone_number": "703-970-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 OLD DOMINION DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014827",
            "telephone_number": "703-970-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINSON HALL AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "703-970-3710",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@vinson-hall.direct.kno2fy.com",
            "affiliation": "N",
            "endpointDescription": "Kno2 direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "6251 Old Dominion Dr",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221014827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vinson Hall at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.