Virginia Gay Hospital Inc.
Organization Active NPI Home Health Agency · Vinton, IA
NPI 1104827732 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104827732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- VIRGINIA GAY HOSPITAL INC.
- Practice address
- 502 N 9TH Ave
Vinton, IA 52349-2254 - Phone
- (319) 472-6360
- Fax
- (319) 472-5976
- NPI assigned
- Aug 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael J Riege
- Title
- Ceo
- Phone
- (319) 472-6260
Owners & managing parties with NPI records 8
-
Michelle Elgin, D.O.
-
Brian W Meeker, D.O.
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 9
Facilities with the same owner 2
Practitioners 19
-
Stephanie Nichole Becker, ARNP
-
Michele E Burnes, PA-C
-
Sarah A Eikenberry, MPT
-
Michelle Elgin, D.O.
-
Emily Ann Flexsenhar, ARNP
-
Michael J Foggia II, D.O.
-
Mariam Gallagher, DO
-
Samantha Isaac, PA
-
Samantha J Jirak, DNP
-
Pamela Keel, ARNP
-
Alison Lagrange, ARNP
-
Brendan Dean Leiran, PA-C
-
Tammy M Madsen, PA-C
-
Brian W Meeker, D.O.
-
Abigail Renee Reiter, PA-C
-
Matthew Wilden, PA-C
Affiliated clinicians 5
-
Michele E Burnes, PA-C
-
Michelle Elgin, D.O.
-
Samantha Isaac, PA
-
Alison Lagrange, ARNP
-
Brian W Meeker, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Virginia Gay Hospital Home Health Agency
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Non-Profit
- Certified
- Jan 3, 1974
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Home health agency certification: CCN 167063
- Legal name
- VIRGINIA GAY HOSPITAL INC
- Doing business as
- VIRGINIA GAY HOSPITAL HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 3, 1974
- Last certification
- Jan 17, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 502 N 9TH Ave
Vinton, IA 52349-2254
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| John F. Yundt |
Corporate Director |
Jan 4, 2010 | |
| Virginia Gay Hospital Inc |
Operational/Managerial Control | Dec 15, 1994 | 100% |
| John Mossman |
Corporate Officer |
Jan 1, 2019 | |
| David Homer Vermedahl |
Corporate Director |
Jan 4, 2010 | 11% |
| Kyle Koeppen |
Corporate Officer |
Oct 1, 2021 | |
| Tina M Eden |
Corporate Officer |
Apr 1, 2025 | |
| W-2 Managing Employee |
Apr 1, 2025 | ||
| Operational/Managerial Control |
Apr 1, 2025 | ||
| Sara S Stuefen |
Corporate Director |
Jan 1, 2019 | 11% |
| Max Maynard |
Corporate Director |
Jan 1, 2018 | 11% |
| Barry W Dietsch |
Corporate Officer |
Jul 8, 2014 | |
| W-2 Managing Employee |
Jul 8, 2014 | ||
| Operational/Managerial Control |
Jul 8, 2014 | ||
| Brian W Meeker |
W-2 Managing Employee |
Jan 4, 2010 | |
| Katie a Cox |
Corporate Officer |
Aug 13, 2019 | |
| Corporate Director |
Aug 13, 2019 | ||
| W-2 Managing Employee |
Aug 13, 2019 | ||
| Operational/Managerial Control |
Aug 13, 2019 | ||
| Michelle M Elgin |
Corporate Director |
Sep 17, 2018 | 11% |
| Marie T Foth |
Corporate Director |
Jan 4, 2010 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Urbana Family Medical Clinic |
Rural health clinic | Operational/Managerial Control | Jun 15, 1992 |
| Atkins Family Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 20, 2012 Aug 20, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100108000837 | IA | Part a Provider - Home Health Agency | 1759290331 | Practice locations: Vinton, IA |
National Provider Directory
- Tax ID family
- Virginia Gay Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IA | Yes |
Addresses
Primary practice location
502 N 9TH Ave
Vinton, IA 52349-2254
Mailing address
502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670638 | Medicaid | IA |
Other names
- Virginia Gay Hospital Home Health Agency
Other providers in Vinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.