Health at Home Central, LLC
Organization Active NPI Home Health Agency · Richmond, VA
NPI 1083387658 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1083387658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- HEALTH AT HOME CENTRAL, LLC
- Practice address
- Two Paragon Building, 6802 Paragon Place
Suite 201
Richmond, VA 23230 - Phone
- (804) 525-1700
- Fax
- (804) 525-1701
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Matthew William Tanzer
- Title
- President
- Phone
- (856) 662-4300
Owners & managing parties with NPI records 9
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 2
Facilities with the same owner 113
Practitioners 1
Affiliated clinicians 77
-
Ashu Acharya, MD
-
Matthew J. Barrett, M.D.
-
Jonathan David Berkman, M.D.
-
Arline Denise Bohannon, M.D.
-
Lloyd Arden Bonner, M.D.
-
Leon Brown, MD
-
Brian Cameron, MD
-
Seth Cheatham, MD
-
Kathie H. Cho, M.D.
-
Marisa D. Christensen, M.D.
-
Stephen Clark, MD
-
Brittany Lynn Craven, M.D.
-
Mariza Daras, M.D.
-
Sarah Elizabeth De Boer, M.D.
-
Beth S Du, MD
-
Elizabeth M Early, FNP
-
Qihua Fan, M.D.
-
Georgianna Blair Fox, FNP-BC
-
Anup J Gokli, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Vcu Health at Home Health by Bayada
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Apr 13, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Home health agency certification: CCN 497792
- Legal name
- HEALTH AT HOME CENTRAL, LLC
- Doing business as
- VCU HEALTH AT HOME BY BAYADA
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 13, 2022
- Last certification
- Apr 13, 2022
- Ownership / control type
- Non-Profit
- Organization structure
- LLC · Proprietary
- Enrollment address
- 6802 Paragon PL
Ste 201
Richmond, VA 23230-1655
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew W Tanzer |
Corporate Officer |
Nov 1, 2021 | |
| Corporate Director |
Nov 1, 2021 | ||
| Lia K Coursey |
Corporate Director |
Aug 20, 2024 | |
| Peter a Boling |
Corporate Director |
Nov 1, 2021 | |
| Bayada Home Health Care, Inc. |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 51% |
| Joanna L Horst |
Corporate Director |
Nov 1, 2021 | |
| Virginia Commonwealth University Health System Authority |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 49% |
| James R Holden |
Corporate Officer |
Nov 1, 2021 | |
| Corporate Director |
Nov 1, 2021 | ||
| Anne Holliday |
W-2 Managing Employee |
Mar 22, 2023 | |
| Operational/Managerial Control |
Mar 22, 2023 | ||
| Kathryn Sellman |
Corporate Director |
Apr 14, 2026 | |
| Brett Neville |
Corporate Officer |
Mar 8, 2024 | |
| Corporate Director |
Mar 8, 2024 | ||
| Divesh K Aidasani |
Corporate Officer |
Nov 1, 2021 | |
| Corporate Director |
Nov 1, 2021 | ||
| Health at Home LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211216000286 | VA | Part a Provider - Home Health Agency | 9234529074 | Practice locations: Richmond, VA |
National Provider Directory
- Tax ID family
- Health at Home Central LLC
Locations
6802 Paragon Pl
Ste 230
Richmond, VA 23230
Phone (804) 525-1350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
Two Paragon Building, 6802 Paragon Place
Suite 201
Richmond, VA 23230
Mailing address
4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159
Other names
- VCU Health at Home by BAYADA
Other providers in Richmond, VA
- Healing Hands of Virginia PLLC
- Healing Hands of Virgionia
- Healing Heart Family Services, LLC
- Healing Hearts & Renewing Minds LLC
- Healing Hearts Counseling Services, LLC
- Health at Home Central, LLC
- Health Brigade
- Health Brigade
- Health Care Depot, Inc.
- Health Consultants of Virginia, Inc.
All providers in Richmond, 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 May 6, 2022. 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.