Organization Active NPI

Join I, LLC

Doing business as @Heart HomeCare

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1043757685
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JOIN I, LLC
Doing business as
@Heart HomeCare
Practice address
349 Southport Cir Ste 106
Virginia Beach, VA 23452-1161
Phone
(757) 961-4077
NPI assigned
Jan 20, 2017
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Jonathon Wilder
Title
President
Phone
(704) 896-5782

Specialties & licenses 1

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

Addresses

Primary practice location

349 Southport Cir Ste 106
Virginia Beach, VA 23452-1161

Mailing address

349 Southport Cir Ste 106
Virginia Beach, VA 23452-1161
Phone (757) 961-4077

Other names 1

  • @Heart HomeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502000735 VA Part A Provider - Home Health Agency 0244517126 Practice locations: Virginia Beach, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043757685. Details of each certification follow.

Home health agency certification: CCN 497744

Legal name
JOIN I, LLC
Doing business as
@HEART HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 2017
Last certification
Jun 1, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 8, 2016 in VA
Enrollment address
349 Southport Cir
Ste 106
Virginia Beach, VA 23452-1161

Care Compare: Home health agency

Medicare Care Compare
Listed as
@Heart HomecareCCN 497744 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 1, 2017
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
49D2125627Join I, LLC Dba at Heart Homecare349 Southport Circle, Suite 106, Virginia Beach, VA 23452Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jennifer D Hall Individual Corporate OfficerSecretary Aug 1, 2022
Corporate DirectorBoard Member Aug 1, 2022
Jennifer Phipps Individual Corporate OfficerTreasurer Aug 1, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 29%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Margaret Sherry Pemberton Individual Corporate OfficerVice President Aug 1, 2022
Corporate DirectorBoard Member Aug 1, 2022
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
Jon Wilder Individual Corporate OfficerPresident Aug 1, 2022
Corporate DirectorBoard Member Aug 1, 2022
Narizza Q. Ibay Individual W-2 Managing Employee Aug 1, 2022
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2022 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 60%
Silverton Abode, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 100%

Facilities with the same owner 151

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

View all 151

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1043757685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SOUTHPORT CIR STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521161",
            "telephone_number": "757-961-4077",
            "fax_number": "757-802-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 SOUTHPORT CIR STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521161",
            "telephone_number": "757-961-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOIN I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-896-5782"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "@Heart HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.