NPIMap

Organization Active NPI

Health at Home Central, LLC

  • Community Based Hospice Care Agency
  • Richmond, VA
National Provider Identifier
1174296743
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTH AT HOME CENTRAL, LLC
Practice address
6802 Paragon PL Ste 230
Richmond, VA 23230-1644
Phone
(804) 525-1350
Fax
(804) 525-1351
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Matthew William Tanzer
Title
President
Phone
(856) 662-4300

Specialties & licenses 1

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

Addresses

Primary practice location

6802 Paragon PL Ste 230
Richmond, VA 23230-1644

Mailing address

4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159

Other names 1

  • VCU Health Hospice at Home by BAYADA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209001063 VA Part A Provider - Hospice 9234529074 Practice locations: Richmond, VA

Hospice certification: CCN 491648

Legal name
HEALTH AT HOME CENTRAL, LLC
Doing business as
VCU HEALTH HOSPICE AT HOME BY BAYADA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 31, 2022
Last certification
Mar 31, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
6802 Paragon PL
Ste 230
Richmond, VA 23230-1644

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Vcu Health Hospice at Home by BayadaCCN 491648
Ownership
For-Profit
Certified
Mar 31, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Health at Home Central LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 2

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

Locations

6802 Paragon Pl
Ste 201
Richmond, VA 23230
Phone (804) 525-1700

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Matthew W Tanzer Individual Corporate OfficerChair/President Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Jennifer Evers Individual W-2 Managing EmployeeAd; Sep 30, 2025
Operational/Managerial ControlAdministrator Sep 30, 2025
Lia K Coursey Individual Corporate OfficerSecretary Apr 1, 2026
Corporate DirectorManager Aug 20, 2024
Peter a Boling Individual Corporate DirectorManager Nov 1, 2021
Bayada Home Health Care, Inc. Organization, Pennsauken, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 51%
Joanna L Horst Individual Corporate DirectorManager Nov 1, 2021
Virginia Commonwealth University Health System Authority Organization, Richmond, VA Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 49%
James R Holden Individual Corporate OfficerVice Chair Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Kathryn Sellman Individual Corporate DirectorManager Apr 14, 2026
Meghan K Townsend Individual Contracted Managing EmployeeMD; Oct 3, 2022
Divesh K Aidasani Individual Corporate OfficerTreasurer Nov 1, 2021
Corporate DirectorManager Nov 1, 2021
Health at Home LLC Organization, Pennsauken, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 113

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

View all 113

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1174296743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376",
            "telephone_number": "973-909-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 PARAGON PL STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301644",
            "telephone_number": "804-525-1350",
            "fax_number": "804-525-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-662-4300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCU Health Hospice at Home by BAYADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.