NPIMap

Organization Active NPI

Chesapeake Hospital Authority

Doing business as Chesapeake Regional Home and Supportive Care

  • Home Health Agency
  • Chesapeake, VA
National Provider Identifier
1316943277
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
Chesapeake Regional Home and Supportive Care
Practice address
1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Phone
(757) 312-6460
Fax
(757) 312-6477
NPI assigned
Jun 24, 2005
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHESAPEAKE HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mrs. Amber Egyud, DNP RN
Title
Chief Operating Officer/Chief Nursi
Phone
(757) 312-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671

Mailing address

1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Phone (757) 312-6460

Other identifiers 1

IdentifierTypeStateIssuer
00497279MedicaidVA

Other names 1

  • Chesapeake Regional Home and Supportive Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031017000022 VA Part A Provider - Home Health Agency 5092627893 Practice locations: Chesapeake, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316943277. Details of each certification follow.

Home health agency certification: CCN 497279B

Legal name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
CHESAPEAKE REGIONAL HOME & SUPPORTIVE CARE
Organization structure
OtherNon-profit
Incorporated
Aug 21, 1995 in VA
Enrollment address
1301 Executive Blvd
Ste 200
Chesapeake, VA 23320-3671

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comfort Care Home Health and HospiceCCN 497279
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 16, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
Joyce Scott8 organizations share this tax ID, including this one
Part of
Joyce Scott

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Stephen McDonnell Individual Corporate OfficerChief Financial Officer Sep 18, 2017
James Jackson Individual Corporate OfficerCeo Jan 31, 2017
Alice Rosemary Halcomb Individual W-2 Managing Employee Feb 10, 2017
Shemaine L Rose Individual W-2 Managing EmployeeController Jan 31, 2017
Amber L Egyud Individual Corporate OfficerCoo/Chief Nursing Officer Sep 11, 2017

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Outer Banks Health HospitalNags Head, NC, CCN 341324 Hospital Other (40%) Oct 1, 2002

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1316943277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EXECUTIVE BLVD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203671",
            "telephone_number": "757-312-6460",
            "fax_number": "757-312-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EXECUTIVE BLVD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203671",
            "telephone_number": "757-312-6460",
            "fax_number": "757-312-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESAPEAKE HOSPITAL AUTHORITY",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "EGYUD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/CHIEF NURSI",
        "authorized_official_telephone_number": "757-312-6308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00497279",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Regional Home and Supportive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.