NPIMap

Organization Active NPI

Medi Home Health Agency, Inc.

Doing business as Medi Home Health Agency

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1124071766
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
530 Independence Pkwy
Ste 200
Chesapeake, VA 23320-5203
Phone
(757) 420-7192
Fax
(757) 420-7196
NPI assigned
May 17, 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

530 Independence Pkwy
Ste 200
Chesapeake, VA 23320-5203

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
010017891MedicaidVA

Other names 1

  • Medi Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000221 VA Part A Provider - Home Health Agency 3173431590 Practice locations: Newport News, VA; Chesapeake, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124071766. Details of each certification follow.

Home health agency certification: CCN 497580

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
Jun 5, 2003
Last certification
Feb 6, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 11, 1996 in VA
Enrollment address
530 Independence Pkwy
Ste 200
Chesapeake, VA 23320-5203

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medi Home Health AgencyCCN 497580 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 5, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Medi Home Health Agency Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

530 Independence Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 420-7192

Ownership & related parties

All disclosed owners & managing parties 5

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 EmployeeExecutive Vice President/Coo Dec 5, 2014
Christina M Jeffcoat Individual Corporate OfficerCoo/ Executive VP/ Secretary Dec 5, 2014
Corporate DirectorBoard/Coo/ Executive VP/ Secretary Dec 5, 2014
The Young Family Trust for the Benefit of Patrick Wayne Jeffcoat Jr Organization, Lexington, SC 5% Or Greater Indirect Ownership Interest Jun 1, 2021 99%
Medical Services of America Inc Organization, Lexington, SC Corporation 5% Or Greater Direct Ownership Interest Jun 5, 2003 100%
Operational/Managerial Control Jun 5, 2003
Mia L Morman-Rosenbaum Individual W-2 Managing EmployeeAdministrator Jan 19, 2019

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1124071766",
    "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": "530 INDEPENDENCE PKWY",
            "address_2": "STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205203",
            "telephone_number": "757-420-7192",
            "fax_number": "757-420-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "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": "010017891",
            "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 Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.