Organization Active NPI

Adoration Home Health Care Virginia LLC

Doing business as Adoration Home Health and Hospice

  • Home Health Agency
  • Nags Head, NC
National Provider Identifier
1184296279
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADORATION HOME HEALTH CARE VIRGINIA LLC
Doing business as
Adoration Home Health and Hospice
Practice address
2224 S Croatan Hwy Unit B
Nags Head, NC 27959-8813
Phone
(252) 263-5800
NPI assigned
Jul 16, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Margaret S Pemberton
Title
Authorized Official
Phone
(502) 394-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2224 S Croatan Hwy Unit B
Nags Head, NC 27959-8813

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 630-7425

Other names 1

  • Adoration 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
O20211008000001 NC Part A Provider - Home Health Agency 4082043138 Practice locations: Nags Head, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184296279. Details of each certification follow.

Home health agency certification: CCN 347074

Legal name
ADORATION HOME HEALTH CARE VIRGINIA, LLC
Doing business as
ADORATION HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 24, 1975
Last certification
Jan 19, 2007
Ownership / control type
Government Operated
Organization structure
LLCProprietary
Incorporated
Jul 31, 2018 in DE
Enrollment address
2224 S Croatan Hwy
Unit B
Nags Head, NC 27959-8813

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home Health and HospiceCCN 347074 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Jul 24, 1975
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
Adoration Home Health Care Virginia LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Member of 1

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

Locations

2224 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 263-5800

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
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 30, 2024 20%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Allison Brown Individual Corporate OfficerSecretary May 15, 2022
Margaret Sherry Pemberton Individual Corporate OfficerManager/VP Sep 1, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Elizabeth Robinson Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 30, 2024 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 30, 2024 48%
Douglas Jessup Individual W-2 Managing EmployeeAdministrator Jan 10, 2024
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 30, 2024 42%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adoration Home HealthAnnandale, VA, CCN 497638 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 20, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 151

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

View all 151

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2021 Change of OwnershipThis provider was the buyer Dare Home Health & Dare HospiceCCN 347074, NC, NPI 1285630384

Practitioners & affiliated clinicians

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1184296279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-630-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY UNIT B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-263-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "502-394-2321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.