Active NPI
Athc - Hospice, LLC
- Community Based Hospice Care Agency
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- ATHC - HOSPICE, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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).
-
- Community Based Hospice Care Agency
- Colonial Heights, VA
- NPI 1174098966
1658556147
Care Compare: Hospice
Medicare Care Compare- Listed as
- Athc-Hospice, LLC
- Ownership
- For-Profit
- Certified
- Jul 23, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2180608 | Athc-Hospice, LLC | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Athc - Hospice LLC
- 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.
-
- Community Based Hospice Care Agency
- Richmond, VA
- NPI 1033417001
-
- Community Based Hospice Care Agency
- Colonial Heights, VA
- NPI 1174098966
-
- Community Based Hospice Care Agency
- Williamsburg, VA
- NPI 1437541372
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper | Corporate Officer | Jul 14, 2023 | |
| Corporate Director | Jul 14, 2023 | ||
| Jennifer Phipps | Corporate Officer | Jul 22, 2022 | |
| Walgreen Co | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 20% |
| Silverton Abode Holding Corporation | 5% Or Greater Indirect Ownership Interest | Jan 10, 2020 | 100% |
| George J Mehfoud | Contracted Managing Employee | Jan 15, 2020 | |
| Margaret Sherry Pemberton | Corporate Officer | Dec 3, 2021 | |
| Corporate Director | Dec 3, 2021 | ||
| Brightspring Health Holdings Corp | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 10, 2020 | 100% |
| Phoenix Guarantor Inc. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Res-Care Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Shelley Freitag | W-2 Managing Employee | Apr 1, 2024 | |
| Silverton Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 10, 2020 | 100% |
| Phoenix Intermediate Holdings Inc. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Abode Healthcare, Inc. | 5% Or Greater Direct Ownership Interest | Jun 27, 2012 | 100% |
| Walgreens Holding Company | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 20% |
| Brightspring Health Services Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| KKR Phoenix Aggregator L.P. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 48% |
| KKR Americas Fund XII LP | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 42% |
| Michael a McMaude | Corporate Officer | Jun 27, 2012 | |
| Corporate Director | Jun 27, 2012 | ||
| Silverton Abode, LLC | 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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1518949791
Contracted Managing Employee
Facilities with the same owner 151
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Adoration Home Health
- Home Health Agency
- Annandale, VA
- NPI 1598450074
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company
-
dba Adoration Home Health
- Home Health Agency
- Wise, VA
- NPI 1962607192
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba AT Home Care, Inc.
- Home Health Agency
- Williamsburg, VA
- NPI 1083659775
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silverton Ab
-
dba AT Home Care, Inc.
- Home Health Agency
- Richmond, VA
- NPI 1376509430
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silverton Ab
-
- Community Based Hospice Care Agency
- Richmond, VA
- NPI 1033417001
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
- Community Based Hospice Care Agency
- Colonial Heights, VA
- NPI 1174098966
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
- Community Based Hospice Care Agency
- Williamsburg, VA
- NPI 1437541372
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Adoration Home Health
- Home Health Agency
- Franklin, VA
- NPI 1093794612
Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
-
dba @Heart HomeCare
- Home Health Agency
- Virginia Beach, VA
- NPI 1043757685
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba @ Heart
- Community Based Hospice Care Agency
- Virginia Beach, VA
- NPI 1023554946
Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C
-
dba Adoration Home Health Brownsville
- Home Health Agency
- Brownsville, TN
- NPI 1639659675
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company
-
dba Adoration Home Health
- Home Health Agency
- Knoxville, TN
- NPI 1255811295
Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1518949791
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.