Innovative Senior Care Home Health of Richmond LLC
Organization Active NPI Home Health Agency · North Chesterfield, VA
NPI 1023217239 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1023217239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- INNOVATIVE SENIOR CARE HOME HEALTH OF RICHMOND LLC
- Practice address
- 300 Arboretum PL Ste 601
North Chesterfield, VA 23236-3475 - Phone
- (804) 330-5544
- NPI assigned
- Jul 17, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTH AT HOME-BHS, LLC
Authorized official
- Name
- William Bradley Parrish
- Title
- Cfo, Home Health & Hospice
- Phone
- (512) 565-8439
Owners & managing parties with NPI records 9
Member of 1
Facilities with the same owner 173
Affiliated clinicians 101
-
Mariam Alshagra, DO
-
Stephen Maurice Ashe, M.D.
-
Zheni Avram, M.D.
-
Lloyd Arden Bonner, M.D.
-
Matthew Scot Boyce, M.D.
-
Sara M Breeden, MD
-
Christina Marie Brockwell, AGACNP-BC
-
Graham M Bundy, M.D.
-
James A Bush, MD
-
Joseph Castro Jr., D.O.
-
John A Clay, M.D.
-
Melissa N. Clayton, A.N.P.
-
Kim C. Clements, M. D.
-
Elizabeth Jody Crognale, M.D.
-
Jerome M Daniel, MD
-
Mary M Davis, FNP
-
Pravin Deshmukh, M.D.
-
Chijindu Emenari, M.D., M.B.A.
Medicare Care Compare: Home health agency
- Listed as
- HCA Virginia Healthcare at Home
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- May 15, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1071094 | HCA Virginia Healthcare at Home | Certificate of waiver | Jul 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Home health agency certification: CCN 497625
- Legal name
- INNOVATIVE SENIOR CARE HOME HEALTH OF RICHMOND LLC
- Doing business as
- HCA VIRGINIA HEALTHCARE AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 15, 2007
- Last certification
- Jul 18, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 22, 2008 in DE
- Enrollment address
- 300 Arboretum PL
Ste 601
North Chesterfield, VA 23236-3475
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Squared LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| HCA Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| H3Ot Corp., LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Eric D Smith |
Operational/Managerial Control |
Jul 1, 2021 | |
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Health at Home-BHS, LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Kara Wimberly |
W-2 Managing Employee |
Dec 9, 2024 | |
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 25% |
| Jamie Wood |
W-2 Managing Employee |
May 23, 2021 | |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Hospital Corp LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Jarrod L Watson |
Corporate Officer |
Jul 1, 2021 | |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 13.25% |
| Michael a Marks |
Corporate Officer |
Jan 1, 2023 | |
| Arc Therapy Services LLC |
5% Or Greater Direct Ownership Interest | Jul 31, 2008 | 100% |
| Brad Williams Parrish |
Corporate Officer |
Mar 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080909000708 | VA | Part a Provider - Home Health Agency | 2668548082 | Practice locations: North Chesterfield, VA |
National Provider Directory
Locations
300 Arboretum Pl
Ste 601
North Chesterfield, VA 23236
Phone (804) 330-5544
300 Arboretum Pl
Ste 510
North Chesterfield, VA 23236
Phone (804) 330-5544
2112 W Laburnum Ave
Ste 100C
Richmond, VA 23227
Phone (804) 330-5544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
300 Arboretum PL Ste 601
North Chesterfield, VA 23236-3475
Mailing address
1 Park PLZ
Nashville, TN 37203-6527
Phone (615) 344-9551
Other names
- HCA Virginia Healthcare at Home
Other providers in North Chesterfield, VA
- Infinite Counseling & Wellness LLC
- Infinite Solutions Behavioral Services, LLC
- Infinity Transportation Services LLC
- Inner Peace, LLC
- Innovative Counseling Group LLC
- Insideout Complete Care Group Home Inc.
- Inspired Hearing Solutions, PLLC
- Integrative Human Service Group LLC
- Integrative Human Service Group LLC
- Integrative Human Service Group LLC
All providers in North Chesterfield, VA · Home Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.