Organization Active NPI

Care Alternatives of Virginia LLC

  • Community Based Hospice Care Agency
  • Glen Allen, VA
National Provider Identifier
1366620486
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-09151 Issued in VA
Legal business name
CARE ALTERNATIVES OF VIRGINIA LLC
Practice address
10571 Telegraph Rd
Suite 203
Glen Allen, VA 23059-4652
Phone
(804) 673-1330
Fax
(804) 673-2778
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Mrs. Yewande Efodili
Title
Business Manager
Phone
(908) 931-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP-09151 VA Primary

Addresses

Primary practice location

10571 Telegraph Rd
Suite 203
Glen Allen, VA 23059-4652

Mailing address

70 Jackson Dr
Cranford, NJ 07016-3510
Phone (908) 931-9068

Other identifiers 1

IdentifierTypeStateIssuer
1366620486MedicaidVA

Other names 1

  • Ascend Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080828000199 VA Part A Provider - Hospice 0446326417 Practice locations: Glen Allen, VA
O20210624002042 VA Part B Supplier - Clinic/Group Practice 0446326417 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Allen, VA

Hospice certification: CCN 491595

Legal name
CARE ALTERNATIVES OF VIRGINIA LLC
Doing business as
ASCEND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 28, 2009
Last certification
Jul 9, 2015
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 4, 2003 in DE
Enrollment address
10571 Telegraph Rd
Ste 203
Glen Allen, VA 23059-4652

Care Compare: Hospice

Medicare Care Compare
Listed as
Ascend HospiceCCN 491595
Ownership
For-Profit
Certified
May 28, 2009
Medicare certification status
ActiveFrom the Provider of Services file

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
49D1076447Care Alternatives of Virginia, LLC10571 Telegraph Road - Suite 203, Glen Allen, VA 23059Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory

Locations

6802 Paragon Pl
Ste 103
Richmond, VA 23230
Phone (804) 673-1330

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Care Solutions, LLC Organization, Fort Lee, NJ LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2007 100%
David Baruch Individual Corporate OfficerCso Jan 1, 2023
W-2 Managing EmployeeCso Jan 1, 2023
Operational/Managerial ControlCso Jan 1, 2023
Care Alternatives Hospice Services, LLC Organization, Cranford, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 1, 2007 100%
Care One Ancillary Holdings, LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 28.09%
Robin Spagnoli Individual W-2 Managing EmployeeDirector of Billing Nov 21, 2023 100%
Operational/Managerial ControlDirector of Billing Nov 21, 2023 100%
Daniel E Straus Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2007 34.6%
Corporate Director Jul 1, 2007 34.6%
Altory M Miranda Individual W-2 Managing EmployeeMedical Director Aug 30, 2018 100%
Khalid Karim Individual W-2 Managing EmployeeMedical Director Jan 1, 2024 100%
North American Medical Management -New Jersey Inc Organization, Fort Lee, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 71.91%
Moshael Straus Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2007 6.3%
Health Resource Partner LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2021 100%
Joseph D Mark Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2007 7.5%
Tara L Demarco Individual W-2 Managing EmployeeAdministrator Aug 29, 2022 100%
Victoria Santos Individual W-2 Managing EmployeeRevenue Cycle Supervisor Sep 17, 2024 100%
Operational/Managerial ControlRevenue Cycle Supervisor Sep 17, 2024 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1366620486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JACKSON DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163510",
            "telephone_number": "908-931-9068",
            "fax_number": "908-931-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 TELEGRAPH RD",
            "address_2": "SUITE 203",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594652",
            "telephone_number": "804-673-1330",
            "fax_number": "804-673-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ALTERNATIVES OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "EFODILI",
        "authorized_official_first_name": "YEWANDE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "908-931-9080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP-09151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366620486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.