Organization Active NPI

Athc - Hospice, LLC

  • Community Based Hospice Care Agency
  • Fredericksburg, VA
National Provider Identifier
1114550134
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ATHC - HOSPICE, LLC
Practice address
1121 Heatherstone Dr
Fredericksburg, VA 22407-4828
Phone
(540) 322-2981
Fax
(540) 322-2988
NPI assigned
Feb 18, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHC - HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Jay Koeper
Title
President
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1121 Heatherstone Dr
Fredericksburg, VA 22407-4828

Mailing address

1121 Heatherstone Dr
Fredericksburg, VA 22407-4828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200608001421 VA Part A Provider - Hospice 1658556147 Practice locations: Fredericksburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114550134. Details of each certification follow.

Hospice certification: CCN 491636

Legal name
ATHC - HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 23, 2020
Last certification
Jul 23, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 4, 2010 in VA
Enrollment address
1121 Heatherstone Dr
Fredericksburg, VA 22407-4828

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
Athc-Hospice, LLCCCN 491636 · All quality measures
Ownership
For-Profit
Certified
Jul 23, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2180608Athc-Hospice, LLC1121 Heatherstone Drive, Fredericksburg, VA 22407Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Athc - Hospice LLC4 organizations share this tax ID, including this one
Part of
Athc - Hospice LLC

Other organizations with this tax ID 3

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

Member of 1

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

Locations

131 Temple Lake Dr
Ste 2
Colonial Heights, VA 23834
Phone (804) 520-7766

1121 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 322-2981

4110 Fitzhugh Ave
Richmond, VA 23230
Phone (804) 353-3585

4118 Fitzhugh Ave
Richmond, VA 23230
Phone (804) 359-3400

287 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 564-6220

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerSecretary Jul 14, 2023
Corporate DirectorBoard Member Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 20%
Silverton Abode Holding Corporation Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2020 100%
George J Mehfoud Individual Contracted Managing EmployeeMD; Jan 15, 2020
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 3, 2021
Corporate DirectorBoard Member Dec 3, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Silverton Intermediate Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2020 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Shelley Freitag Individual W-2 Managing EmployeeAd; Apr 1, 2024
Silverton Holdings, Inc. Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2020 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Abode Healthcare, Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 27, 2012 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 48%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Apr 16, 2021 42%
Michael a McMaude Individual Corporate OfficerPresident Jun 27, 2012
Corporate DirectorBoard Member Jun 27, 2012
Silverton Abode, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2020 100%

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 151

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

View all 151

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 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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1114550134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HEATHERSTONE DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074828",
            "telephone_number": "540-322-2981",
            "fax_number": "540-322-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHC - HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHC - HOSPICE, LLC",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KOEPER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.