NPIMap

Organization Active NPI

Riverside Hospice and Homecare Services LLC

  • Home Health Agency
  • Warsaw, VA
National Provider Identifier
1184223992
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC
Practice address
4719A Richmond Rd
Warsaw, VA 22572-3143
Phone
(804) 333-8450
NPI assigned
Oct 22, 2020
Last updated
Feb 16, 2023By the provider in NPPES
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
Walter W Austin Jr.
Title
Sr Vice President/Cfo
Phone
(757) 875-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4719A Richmond Rd
Warsaw, VA 22572-3143

Mailing address

608 Denbigh Blvd Ste 800
Newport News, VA 23608-4487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210003417 VA Part A Provider - Home Health Agency 2769895978 Practice locations: Mechanicsville, VA; Warsaw, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184223992. Details of each certification follow.

Home health agency certification: CCN 497025B

Legal name
RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC
Doing business as
RIVERSIDE HOME HEALTH
Organization structure
LLCNon-profit
Incorporated
Oct 23, 2020 in VA
Enrollment address
4719A Richmond Rd
Warsaw, VA 22572-3143

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: Home health agency

Medicare Care Compare
Listed as
Riverside Home HealthCCN 497025
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 23, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Riverside Home Health2 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 1

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

Locations

4719 Richmond Rd
#A
Warsaw, VA 22572
Phone (804) 333-8450

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Patrick Henry Hospital, Inc. Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Walter W Austin Individual Corporate OfficerEvp/Cfo/Board Treasurer Dec 31, 2020
Jason Houser Individual Corporate OfficerVP Corp Counsel/Board Secretary Dec 31, 2020
Michael J Dacey Individual Corporate OfficerRHS President/Coo Dec 31, 2020
Corporate DirectorBoard Member Feb 1, 2023
Frankye Myers Individual Corporate OfficerSVP/Cno RHS Jul 1, 2022
Barbara J. Labonte Individual W-2 Managing EmployeeAssociate VP Dec 31, 2020
Joyce J Alewynse Individual Corporate DirectorBoard Member Feb 1, 2021
Kirby Smith Individual Corporate DirectorBoard Member Dec 31, 2020
Joseph F Verser Individual Corporate DirectorBoard Member Feb 1, 2022
Maureen Thompson Individual Contracted Managing EmployeeExec Director Home Care SVS Dec 31, 2020
Brooke Tiller Individual Corporate DirectorBoard Member Feb 1, 2021
Keith D Roots Individual Corporate DirectorBoard Member Feb 1, 2023
Barbara Smith Haywood Individual Corporate DirectorBoard Member Dec 31, 2020
Dawn R Smith Individual Corporate DirectorBoard Member Feb 1, 2023
Jared L Bates Individual Corporate DirectorBoard Member Feb 1, 2021
Edward Heckler Individual Corporate OfficerVP, RHS Life Long Health Dec 31, 2020
Conway Smith Individual Corporate DirectorBoard Member Dec 31, 2020

Owners & managing parties with NPI records 4

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1184223992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD STE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719A RICHMOND RD",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225723143",
            "telephone_number": "804-333-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "757-875-7545",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, VA

Sources for this page

Verify at the official NPI Registry.