Organization Active NPI

Hospice Choice Inc

  • Community Based Hospice Care Agency
  • Norton, VA
National Provider Identifier
1366444630
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0526-15 Issued in VA
Legal business name
HOSPICE CHOICE INC
Doing business as
Hospice & Palliative Care of Virginia
Practice address
18 7TH St NW
Suite 302
Norton, VA 24273-1961
Phone
(276) 679-7212
Fax
(276) 679-7245
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Sherry A Adams
Title
Executive Director
Phone
(276) 679-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0526-15 VA Primary

Addresses

Primary practice location

18 7TH St NW
Suite 302
Norton, VA 24273-1961

Mailing address

PO Box 349
Norton, VA 24273-0349
Phone (276) 679-7212

Other identifiers 2

IdentifierTypeStateIssuer
004910087MedicaidVA
337550OtherVAANTHEM

Other names 1

  • Hospice & Palliative Care of Virginia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000601 VA Part A Provider - Hospice 5597711036 Practice locations: Norton, VA

Hospice certification: CCN 491522

Legal name
HOSPICE CHOICE INC
Doing business as
HOSPICE & PALLIATIVE CARE OF VIRGINIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 22, 1994
Last certification
Mar 25, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 1993 in VA
Enrollment address
18 7TH St NW
Ste 302
Norton, VA 24273-1946

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice & Palliative Care of VirginiaCCN 491522 ยท All quality measures
Ownership
Other
Certified
Sep 22, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18 7th St NW
Ste 302
Norton, VA 24273
Phone (276) 679-7212

738 Park Ave NW
Norton, VA 24273
Phone (276) 679-7212

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Norman Wayne Clark Individual Corporate Director Jan 1, 2018
Phillip F Bates Individual Corporate DirectorBoard Member Jan 5, 2007
Benjamin F. Sergent Individual Corporate DirectorBoard Member Jan 30, 2007
James Noel Collie Individual Corporate Director Jan 1, 2018
Lucius Ellsworth Individual Corporate OfficerBoard Chair Jan 1, 2003
Corporate DirectorBoard Member Jan 1, 2001
Kerry Hay Individual Corporate OfficerSecretary Jan 1, 2007
Corporate DirectorBoard Member Feb 10, 2006
Albert Lee Kidd Individual Corporate DirectorBoard Member Mar 20, 2007
Sherry a Adams Individual Corporate OfficerPresident Apr 1, 2005
W-2 Managing EmployeePresident/Ceo Jan 13, 2005
Operational/Managerial ControlCeo Jan 13, 2005
Barbara B Farmer Individual Corporate Director Sep 22, 2015

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1366444630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242730349",
            "telephone_number": "276-679-7212",
            "fax_number": "276-679-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 7TH ST NW",
            "address_2": "SUITE 302",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731961",
            "telephone_number": "276-679-7212",
            "fax_number": "276-679-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CHOICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-679-7212"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "0526-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004910087",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "337550",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice & Palliative Care of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.