NPIMap

Organization Active NPI

Haslup Enterprises, LTD.

Doing business as Interim HealthCare

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1073530846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
MEDICARE CERTIFIED Issued in VA
Legal business name
HASLUP ENTERPRISES, LTD.
Doing business as
Interim HealthCare
Practice address
516 S Independence Blvd
Suite 106
Virginia Beach, VA 23452-1153
Phone
(757) 466-1401
Fax
(757) 466-8223
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David L Haslup
Title
Owner
Phone
(434) 295-5501

Specialties & licenses 1

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

Addresses

Primary practice location

516 S Independence Blvd
Suite 106
Virginia Beach, VA 23452-1153

Mailing address

103 S Pantops Dr
Suite 205
Charlottesville, VA 22911-8617
Phone (434) 295-5501

Other names 1

  • Interim HealthCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030304000020 VA Part A Provider - Home Health Agency 8921916602 Practice locations: Newport News, VA; Virginia Beach, VA

Home health agency certification: CCN 497264

Legal name
HASLUP ENTERPRISES LTD.
Doing business as
INTERIM HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 1982
Last certification
Nov 21, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 23, 1990 in VA
Enrollment address
516 S Independence Blvd
Ste 106
Virginia Beach, VA 23452-1153

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim HealthcareCCN 497264 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
May 5, 1982
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
Haslup Enterprises LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

703 Thimble Shoals Blvd
Ste B-1
Newport News, VA 23606
Phone (757) 873-3313

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Elizabeth H Donaldson Individual 5% Or Greater Indirect Ownership InterestMarketer Oct 1, 2018 5%
Corporate OfficerVice President Marketing Oct 1, 2018
W-2 Managing EmployeeVice President Marketing Oct 1, 2018
David Lee Haslup Individual 5% Or Greater Indirect Ownership InterestOwner Oct 1, 2018 78%
Corporate OfficerCeo Oct 1, 2018
Corporate DirectorBoard Member Oct 1, 2018
W-2 Managing EmployeeCeo Oct 1, 2018
Haslup Holdings LTD Organization, Charlottesvle, VA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
David Nagle Haslup Individual 5% Or Greater Indirect Ownership InterestPresident Oct 1, 2018 15%
Corporate OfficerPresident Oct 1, 2018
Corporate DirectorBoard Oct 1, 2018
W-2 Managing EmployeeManagerial Oct 1, 2018
Helen E Bojko Individual Corporate OfficerVice President Compliance Oct 1, 2018
W-2 Managing EmployeeVice President Compliance Oct 1, 2018
Kelly Nagle Haslup Individual Corporate OfficerSecretary Oct 1, 2018
W-2 Managing EmployeeSecretary Oct 1, 2018
Michelle Lee Sullivan Individual Corporate OfficerChief Operations Officer Oct 1, 2018
W-2 Managing EmployeeChief Operations Officer Oct 1, 2018

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 2

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

Practitioners & affiliated clinicians

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073530846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR",
            "address_2": "SUITE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617",
            "telephone_number": "434-295-5501",
            "fax_number": "434-295-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S INDEPENDENCE BLVD",
            "address_2": "SUITE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521153",
            "telephone_number": "757-466-1401",
            "fax_number": "757-466-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLUP ENTERPRISES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASLUP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-295-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "MEDICARE CERTIFIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.