Organization Active NPI

Medi Home Health Agency, Inc

Doing business as Medi Home Health Agency

  • Home Health Agency
  • Roanoke, VA
National Provider Identifier
1093760779
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDI HOME HEALTH AGENCY, INC
Doing business as
Medi Home Health Agency
Practice address
4419 Pheasant Ridge Rd Ste 202
Roanoke, VA 24014-5282
Phone
(540) 278-1322
Fax
(540) 278-1323
NPI assigned
May 23, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mrs. Christina M Jeffcoat
Title
Coo/Exec VP
Phone
(803) 957-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4419 Pheasant Ridge Rd Ste 202
Roanoke, VA 24014-5282

Mailing address

PO Box 1928
Lexington, SC 29071-1928
Phone (803) 957-0500

Other identifiers 1

IdentifierTypeStateIssuer
4970535MedicaidVA

Other names 1

  • Medi Home Health Agency Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050221000660 VA Part A Provider - Home Health Agency 3173431590 Practice locations: Roanoke, VA
O20060630000054 VA Part A Provider - Hospice 3173431590 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pulaski, VA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1093760779. Details of each certification follow.

Home health agency certification: CCN 497096

Legal name
MEDI HOME HEALTH AGENCY, INC.
Doing business as
MEDI HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 1993
Last certification
Dec 3, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 11, 1996 in VA
Enrollment address
4419 Pheasant Ridge Rd
Ste 202
Roanoke, VA 24014-5282

Hospice certification: CCN 491586

Legal name
MEDI HOME HEALTH AGENCY, INC.
Doing business as
MEDI HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 4, 2006
Last certification
May 19, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 11, 1996 in VA
Enrollment address
141 E Main St
Ste 500
Pulaski, VA 24301-5047

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medi Home Health AgencyCCN 497096 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Medi Home Health and Hospice - PulaskiCCN 491586 · All quality measures
Ownership
For-Profit
Certified
Oct 4, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4419 Pheasant Ridge Rd
Ste 202
Roanoke, VA 24014
Phone (540) 278-1322

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
Patrick W Jeffcoat Individual Corporate OfficerCeo/ President/ Treasurer Dec 5, 2014
Corporate DirectorBoard/Ceo/ President/ Treasurer Dec 5, 2014
W-2 Managing EmployeeCeo/ President/ Treasurer Dec 5, 2014
Christina M Jeffcoat Individual Corporate OfficerCoo/ Executive VP/ Secretary Dec 5, 2014
Corporate DirectorBoard/Coo/ Executive VP/ Secretary Dec 5, 2014
Christi Nicely Individual W-2 Managing EmployeeAdministrator Jul 17, 2023
The Young Family Trust F/B/O Patrick Wayne Jeffcoat, Jr. Organization, Lexington, SC 5% Or Greater Indirect Ownership Interest Dec 7, 2020 100%
Medical Services of America Inc Organization, Lexington, SC For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 30, 2012 100%
Operational/Managerial Control Jan 30, 2012 100%
5% Or Greater Direct Ownership Interest Mar 1, 2006 100%
Operational/Managerial Control Mar 1, 2006 100%
Karanita M Ojomo Individual Contracted Managing EmployeeMD; Aug 1, 2023
Sherry Covey Individual W-2 Managing EmployeeAdministrator Feb 3, 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 40

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

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1093760779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711928",
            "telephone_number": "803-957-0500",
            "fax_number": "888-342-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 PHEASANT RIDGE RD STE 202",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145282",
            "telephone_number": "540-278-1322",
            "fax_number": "540-278-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO/EXEC VP",
        "authorized_official_telephone_number": "803-957-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4970535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.