Organization Active NPI

Trinity Hospice 2, LLC

Doing business as Trinity Hospice

  • Community Based Hospice Care Agency
  • Richmond, VA
National Provider Identifier
1053904003
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRINITY HOSPICE 2, LLC
Doing business as
Trinity Hospice
Practice address
812 Moorefield Park Drive, Ste 110
Richmond, VA 23236-3692
Phone
(804) 613-4529
Fax
(804) 613-4531
NPI assigned
Feb 19, 2021
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
William McArdle
Title
President
Phone
(804) 613-4529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

812 Moorefield Park Drive, Ste 110
Richmond, VA 23236-3692

Mailing address

540 E Appleby Rd Ste 104
Fayetteville, AR 72703-4114

Other names 1

  • Trinity Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528001922 VA Part A Provider - Hospice 9931508603 Practice locations: North Chesterfield, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053904003. Details of each certification follow.

Hospice certification: CCN 491645

Legal name
TRINITY HOSPICE 2 LLC
Doing business as
TRINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 16, 2021
Last certification
Dec 16, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Feb 17, 2021 in VA
Enrollment address
804 Moorefield Park Dr
Ste 305
North Chesterfield, VA 23236-3670

Care Compare: Hospice

Medicare Care Compare
Listed as
Trinity HospiceCCN 491645 · All quality measures
Ownership
For-Profit
Certified
Dec 16, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
49D2226217Trinity Hospice 2 LLC804 Moorefield Park Dr, Suite 305, North Chesterfield, VA 23236Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

620 Moorefield Park Dr
Ste 101
North Chesterfield, VA 23236

804 Moorefield Park Dr
Ste 305
North Chesterfield, VA 23236
Phone (804) 613-4529

812 Moorefield Park Dr
Ste 110
North Chesterfield, VA 23236
Phone (804) 613-4529

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Bridget P McArdle Individual 5% Or Greater Indirect Ownership Interest Feb 17, 2021 47%
William L McArdle and Angela Pope McArdle Family Living Trust Organization, Fayetteville, AR 5% Or Greater Indirect Ownership Interest Feb 17, 2021 100%
Jason C Evers Individual Contracted Managing EmployeeMD; Aug 2, 2021
Seniors Angel LLC Organization, Glen Allen, VA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2024 6%
McArdle Healthcare Services LLC Organization, Fayetteville, AR LLC 5% Or Greater Direct Ownership Interest Jan 1, 2024 94%
William L McArdle Individual 5% Or Greater Indirect Ownership Interest Feb 17, 2021 47%
Corporate OfficerPresident Apr 17, 2021
Kristen Charpentier Individual Corporate OfficerSecretary Feb 17, 2021
Shannon Jones Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 6%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1053904003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E APPLEBY RD STE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MOOREFIELD PARK DRIVE, STE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363692",
            "telephone_number": "804-613-4529",
            "fax_number": "804-613-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOSPICE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "MCARDLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-613-4529"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.