NPIMap

Organization Active NPI

Adoration Home Health Care Virginia, LLC

  • Home Health Agency
  • Plymouth, NC
National Provider Identifier
1225867278
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADORATION HOME HEALTH CARE VIRGINIA, LLC
Practice address
198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone
(800) 842-8275
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Angie Mattingly
Title
MGR Provider Enrollment
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

198 NC Highway 45 N
Plymouth, NC 27962-9232

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423003668 NC Part A Provider - Home Health Agency 4082043138 Practice locations: Columbia, NC; Plymouth, NC; Williamston, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225867278. Details of each certification follow.

Home health agency certification: CCN 347008

Legal name
ADORATION HOME HEALTH CARE VIRGINIA, LLC
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 1966
Last certification
Mar 13, 2013
Ownership / control type
Government Operated
Most recent change of ownership
Sep 1, 2024
Organization structure
LLCProprietary
Enrollment address
198 NC Highway 45 N
Plymouth, NC 27962-9232

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 HealthCCN 347008 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Aug 19, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0667447Adoration Home Health Care Virginia, LLC198 NC Highway 45 North, Plymouth, NC 27962Certificate of waiverAug 31, 2026

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.

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 Sep 1, 2024
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 29%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Allison Brown Individual Corporate OfficerSecretary Sep 1, 2024
Margaret Sherry Pemberton Individual Corporate OfficerManager/Vice President Sep 1, 2024
Corporate DirectorDirector Sep 1, 2024
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Elizabeth Robinson Individual Corporate OfficerPresident/ Manager Sep 1, 2024
Corporate DirectorDirector Sep 1, 2024
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 68%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2024 100%
Brightspring Health Holdings Corp. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Katherine Winesett Davis Individual W-2 Managing EmployeeAd; Sep 1, 2024
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2024 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.

  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Reidsville, NC
    • NPI 1063667210

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Concord, NC
    • NPI 1083623086

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Gastonia, NC
    • NPI 1134138142

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • High Point, NC
    • NPI 1164499562

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health and Hospice

    • Home Health Agency
    • Nags Head, NC
    • NPI 1184296279

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health and Hospice

    • Community Based Hospice Care Agency
    • Nags Head, NC
    • NPI 1306510318

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Lenoir, NC
    • NPI 1417294836

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Advanced Home Health

    • Home Health Agency
    • Winston Salem, NC
    • NPI 1679540132

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Mebane, NC
    • NPI 1689641144

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Elizabethtown, NC
    • NPI 1699213538

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Charlotte, NC
    • NPI 1710955489

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Albemarle, NC
    • NPI 1730785205

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare Holding

    CMS ownership
View all 151

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2024 Change of OwnershipThis provider was the buyer Martin Tyrrell Washington District Health DepartmentCCN 347008, NC, NPI 1083606206

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1225867278",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NC HIGHWAY 45 N",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629232",
            "telephone_number": "800-842-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MGR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

Verify at the official NPI Registry.