NPIMap

Organization Active NPI

Msa Home Health and Hospice of NC Inc

  • Community Based Hospice Care Agency
  • Elizabeth City, NC
National Provider Identifier
1104291244
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MSA HOME HEALTH AND HOSPICE OF NC INC
Practice address
1129 Horseshoe Rd
Elizabeth City, NC 27909-8507
Phone
(252) 338-4066
Fax
(252) 338-3767
NPI assigned
Dec 1, 2015
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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1129 Horseshoe Rd
Elizabeth City, NC 27909-8507

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1104291244MedicaidNC

Other names 1

  • Albemarle Home Care and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160226001038 NC Part A Provider - Hospice 3072815091 Practice locations: Elizabeth City, NC

Hospice certification: CCN 341559

Legal name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Doing business as
ALBEMARLE HOME CARE AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 23, 1992
Last certification
Apr 1, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
1129 Horseshoe Rd
Elizabeth City, NC 27909-8507

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Albemarle Home Care and HospiceCCN 341559
Ownership
For-Profit
Certified
Jan 23, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Home Care and Hospice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Francis M Taylor Individual Contracted Managing EmployeeMD; Jun 28, 2023
Patrick W Jeffcoat Individual 5% Or Greater Indirect Ownership InterestCeo/President/Treasurer Dec 31, 2020 66.67%
Corporate OfficerCeo/President/Treasurer Dec 1, 2015
Corporate DirectorCeo/President/Treasurer Dec 1, 2015
W-2 Managing EmployeeAd; Dec 1, 2015
Christina M Jeffcoat Individual Corporate OfficerCoo/Executive VP/Secretary Dec 1, 2015
Corporate DirectorCoo/Executive VP/Secretary Dec 1, 2015
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 Corporation 5% Or Greater Direct Ownership Interest Dec 1, 2015 100%
Operational/Managerial Control Dec 1, 2015
Cynthia Young Gothard Individual W-2 Managing EmployeeAdministrator Jun 9, 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 2

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1104291244",
    "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": "1129 HORSESHOE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098507",
            "telephone_number": "252-338-4066",
            "fax_number": "252-338-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSA HOME HEALTH AND HOSPICE OF NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104291244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albemarle Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Albemarle Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.