NPIMap

Organization Active NPI

Carilion Medical Center

Doing business as Carilion Clinic Home Health

  • Home Health Agency
  • Roanoke, VA
National Provider Identifier
1073506002
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
EXEMPT
Legal business name
CARILION MEDICAL CENTER
Doing business as
Carilion Clinic Home Health
Practice address
1615 Franklin Rd SW
Suite C
Roanoke, VA 24016-5208
Phone
(540) 224-4800
Fax
(540) 982-5785
NPI assigned
Aug 24, 2005
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Eleanor Altman Prescott
Title
Dir. Payer Contract Administration
Phone
(504) 224-5516

Specialties & licenses 1

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

Addresses

Primary practice location

1615 Franklin Rd SW
Suite C
Roanoke, VA 24016-5208

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other names 1

  • Carilion Clinic Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090205000734 VA Part A Provider - Home Health Agency 9830096585 Practice locations: Hardy, VA; Lexington, VA; Roanoke, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073506002. Details of each certification follow.

Home health agency certification: CCN 497258

Legal name
CARILION MEDICAL CENTER
Doing business as
CARILION MEDICAL CENTER HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 1981
Last certification
Mar 14, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
1615 Franklin Road
Roanoke, VA 24016-5208

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carilion Home Care Services - RoanokeCCN 497258 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Oct 23, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Sarah W Southard NP19 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1615 Franklin Rd SW
Ste C
Roanoke, VA 24016
Phone (540) 224-4800

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
George Robert Vaughan Individual Corporate Director Dec 30, 2022
Ann Hoff Individual Corporate Officer Oct 1, 2023
Isabel R Thornton Individual Corporate Director Oct 1, 2023
Michael S Nussbaum Individual Corporate Director Oct 1, 2023
Paul a Haskins Individual Corporate Officer Oct 1, 2023
Sarah Kerry Rivelli Individual Corporate DirectorChief of Medical Staff Jan 1, 2026
Eleanor Prescott Individual Corporate DirectorDirector of Payer Contracting Coord Oct 14, 2025
Michael Abbott Individual Corporate DirectorPresident Oct 15, 2024
Joshua Hartle Individual Corporate Director Oct 6, 2025
Donald B Halliwill Individual Corporate OfficerAssistant Treasurer, Evp, Cfo Jan 1, 2013
Jamie Greenawalt Individual Corporate Director Oct 1, 2023
Daniel R Tershak Individual Corporate Director Oct 1, 2023
Lee Learman Individual Corporate Officer Oct 1, 2023
Janet Frantz Individual Corporate Director Oct 1, 2023
Kimberly Reynolds Individual W-2 Managing Employee May 22, 2023
Kianna Price Marshall Individual Corporate Director Oct 1, 2023

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 139

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

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1073506002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 FRANKLIN RD SW",
            "address_2": "SUITE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165208",
            "telephone_number": "540-224-4800",
            "fax_number": "540-982-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ALTMAN",
        "authorized_official_title_or_position": "DIR. PAYER CONTRACT ADMINISTRATION",
        "authorized_official_telephone_number": "504-224-5516"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Clinic Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carilion Clinic Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.