NPIMap

Organization Active NPI

Healthaccess, Inc

Doing business as Vidant Home Health and Hospice

  • Home Health Agency
  • Kenansville, NC
National Provider Identifier
1134599137
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC0053 Issued in NC
Legal business name
HEALTHACCESS, INC
Doing business as
Vidant Home Health and Hospice
Practice address
750 Kenansville Byp
Kenansville, NC 28349-9064
Phone
(910) 296-0819
Fax
(910) 296-0482
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Joan Wynn, PHD
Title
President
Phone
(252) 847-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC0053 NC Primary

Addresses

Primary practice location

750 Kenansville Byp
Kenansville, NC 28349-9064

Mailing address

PO Box 8125
Greenville, NC 27835-8125
Phone (252) 847-2000

Other names 1

  • VIDANT HOME HEALTH 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
O20151209001771 NC Part A Provider - Home Health Agency 5395658322 Practice locations: Kenansville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134599137. Details of each certification follow.

Home health agency certification: CCN 347063

Legal name
HEALTHACCESS, INC.
Doing business as
ECU HEALTH HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 1974
Last certification
Sep 16, 2016
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1983 in NC
Enrollment address
750 South Kenansville Bypass
Kenansville, NC 28349-0887

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vidant Home Health and HospiceCCN 347063 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Apr 19, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health Serv8 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.

Locations

521 Myers St W
Ahoskie, NC 27910
Phone (252) 332-3392

1005 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 353-6800

5 Doctors Park
Greenville, NC 27834
Phone (252) 847-2000

2704B N Main St
Tarboro, NC 27886
Phone (252) 641-1002

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
Scottie Simmons Individual W-2 Managing EmployeeManager Sep 9, 2012
David S Hughes Individual Corporate OfficerSecretary/Trasurer Feb 6, 2012
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 18, 1983 100%
Daniel Drake Individual Corporate OfficerPresident Jul 8, 2018
Michael R Waldrum Individual Corporate DirectorDir. Health Access, Inc Ceo Vida Jun 1, 2015

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 6

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 10

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": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1134599137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358125",
            "telephone_number": "252-847-2000",
            "fax_number": "252-847-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KENANSVILLE BYP",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499064",
            "telephone_number": "910-296-0819",
            "fax_number": "910-296-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHACCESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-2000",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDANT HOME HEALTH AND HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

Verify at the official NPI Registry.