NPIMap

Riverside Hospice and Homecare Services LLC

Organization Active NPI Home Health Agency · Warsaw, VA

NPI 1184223992 · NPPES record last updated Feb 16, 2023

Key facts

NPI
1184223992
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 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
Organization subpart
No

Authorized official

Name
Walter W Austin Jr.
Title
Sr Vice President/Cfo
Phone
(757) 875-7545

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same 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.

Facilities with the same owner 1

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

Affiliated clinicians 36

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

View all 36

Medicare Care Compare: Home health agency

Listed as
Riverside Home Health CCN 497025
Overall star rating
★★★☆☆ 3 of 5
Ownership
Proprietary
Certified
Jul 23, 1985
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

Source: Medicare Care Compare. 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).

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Home health agency certification: CCN 497025B

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

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 Officer
Evp/Cfo/Board Treasurer		 Dec 31, 2020
Jason Houser
Individual 		Corporate Officer
VP Corp Counsel/Board Secretary		 Dec 31, 2020
Michael J Dacey
Individual 		Corporate Officer
RHS President/Coo		 Dec 31, 2020
Corporate Director
Board Member		 Feb 1, 2023
Frankye Myers
Individual 		Corporate Officer
SVP/Cno RHS		 Jul 1, 2022
Barbara J. Labonte
Individual 		W-2 Managing Employee
Associate VP		 Dec 31, 2020
Joyce J Alewynse
Individual 		Corporate Director
Board Member		 Feb 1, 2021
Kirby Smith
Individual 		Corporate Director
Board Member		 Dec 31, 2020
Joseph F Verser
Individual 		Corporate Director
Board Member		 Feb 1, 2022
Maureen Thompson
Individual 		Contracted Managing Employee
Exec Director Home Care SVS		 Dec 31, 2020
Brooke Tiller
Individual 		Corporate Director
Board Member		 Feb 1, 2021
Keith D Roots
Individual 		Corporate Director
Board Member		 Feb 1, 2023
Barbara Smith Haywood
Individual 		Corporate Director
Board Member		 Dec 31, 2020
Dawn R Smith
Individual 		Corporate Director
Board Member		 Feb 1, 2023
Jared L Bates
Individual 		Corporate Director
Board Member		 Feb 1, 2021
Edward Heckler
Individual 		Corporate Officer
VP, RHS Life Long Health		 Dec 31, 2020
Conway Smith
Individual 		Corporate Director
Board Member		 Dec 31, 2020

Medicare enrollment records

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

National Provider Directory

Tax ID family
Riverside Home Health (2 organizations share this tax ID)

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

4719A Richmond Rd
Warsaw, VA 22572-3143

Mailing address

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

Other providers in Warsaw, VA

All providers in Warsaw, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.