NPIMap

Organization Active NPI

Adoration Home Health Care Virginia LLC

Doing business as Adoration Home Health and Hospice

  • Community Based Hospice Care Agency
  • Nags Head, NC
National Provider Identifier
1306510318
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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) 301-2620
Fax
(252) 263-5801
NPI assigned
Aug 3, 2021
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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) 420-2512

Specialties & licenses 1

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

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
O20210918000110 NC Part A Provider - Hospice 4082043138 Practice locations: Nags Head, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306510318. Details of each certification follow.

Hospice certification: CCN 341584

Legal name
ADORATION HOME HEALTH CARE VIRGINIA, LLC
Doing business as
ADORATION HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 2002
Last certification
Mar 25, 2004
Ownership / control type
Proprietary - Other
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: Hospice

Medicare Care Compare
Listed as
Adoration Home Health and HospiceCCN 341584 · All quality measures
Ownership
Government
Certified
Apr 4, 2002
Medicare certification status
ActiveFrom the Provider of Services file

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

109 Exeter St
Manteo, NC 27954
Phone (252) 475-5003

109 Exeter St
Ste 234
Manteo, NC 27954

Ownership & related parties

All disclosed owners & managing parties 18

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 Sep 1, 2021 29%
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
Joseph a Hodges Individual W-2 Managing EmployeeMD; Sep 17, 2023
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 Sep 1, 2021 29%
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 Sep 1, 2021 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 60%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
James Saul Individual W-2 Managing EmployeeAdministrator May 26, 2023
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%

Owners & managing parties with NPI records 1

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

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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    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 Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Salisbury, NC
    • NPI 1790885945

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

    CMS ownership
View all 151

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2021 Change of OwnershipThis provider was the buyer Dare County Administrative OfficesCCN 341584, NC, NPI 1831194547

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1306510318",
    "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",
            "fax_number": "252-473-9814"
        },
        {
            "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": "252-301-2620",
            "fax_number": "252-263-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MGR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-420-2512"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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.