NPIMap

Organization Active NPI

Health at Home Central, LLC

Doing business as VCU Health at Home by BAYADA

  • Home Health Agency
  • Richmond, VA
National Provider Identifier
1083387658
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH AT HOME CENTRAL, LLC
Doing business as
VCU Health at Home by BAYADA
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
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Matthew William Tanzer
Title
President
Phone
(856) 662-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 1

  • VCU Health at Home by BAYADA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216000286 VA Part A Provider - Home Health Agency 9234529074 Practice locations: Richmond, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083387658. Details of each certification follow.

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
LLCProprietary
Enrollment address
6802 Paragon PL
Ste 201
Richmond, VA 23230-1655

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
Vcu Health at Home Health by BayadaCCN 497792 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Apr 13, 2022
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
Health at Home Central LLC2 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.

Member of 2

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

Locations

6802 Paragon Pl
Ste 201
Richmond, VA 23230
Phone (804) 525-1700

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Matthew W Tanzer Individual Corporate OfficerChair/President Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Lia K Coursey Individual Corporate DirectorManager Aug 20, 2024
Peter a Boling Individual Corporate DirectorManager Nov 1, 2021
Bayada Home Health Care, Inc. Organization, Pennsauken, NJ Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 51%
Joanna L Horst Individual Corporate DirectorManager Nov 1, 2021
Virginia Commonwealth University Health System Authority Organization, Richmond, VA Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 49%
James R Holden Individual Corporate OfficerVice Chair Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Anne Holliday Individual W-2 Managing EmployeeAd; Mar 22, 2023
Operational/Managerial ControlAdministrator Mar 22, 2023
Kathryn Sellman Individual Corporate DirectorManager Apr 14, 2026
Brett Neville Individual Corporate OfficerSecretary Mar 8, 2024
Corporate DirectorManager Mar 8, 2024
Divesh K Aidasani Individual Corporate OfficerTreasurer Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Health at Home LLC Organization, Pennsauken, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%

Owners & managing parties with NPI records 9

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

Facilities with the same owner 113

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

View all 113

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 77

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

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1083387658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376",
            "telephone_number": "973-909-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO PARAGON BUILDING, 6802 PARAGON PLACE",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-525-1700",
            "fax_number": "804-525-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-662-4300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCU Health at Home by BAYADA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VCU Health at Home by BAYADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.