Active NPI
Encompass Home Health of the Mid Atlantic, LLC
- Home Health Agency
- Roanoke, VA
National Provider Identifier
1396173084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ENCOMPASS HOME HEALTH OF THE MID ATLANTIC, LLC
- Doing business as
- Encompass Home Health of Western Virginia
- Practice address
- 5115 Bernard Dr
Suite 205
Roanoke, VA 24018-4357 - Phone
- (540) 774-4970
- Fax
- (888) 972-8701
- NPI assigned
- Oct 16, 2013
- Organization subpart
- Yes
- Parent organization
- HEALTHSOUTH CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Walker
- Title
- Cfo
- Phone
- (214) 239-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5115 Bernard Dr
Suite 205
Roanoke, VA 24018-4357
Mailing address
6688 N Central Expy
Suite 1300
Dallas, TX 75206-3950
Phone (214) 239-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49D1059509 | Other | VA | CLIA |
Other names 1
- Encompass Home Health of Western Virginia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Tax ID family
- Eh Home Health of Roanoke LLC
- Part of
- Healthsouth Rehabilitat
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Roanoke, VA
- NPI 1083158950
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 1, 2017 | Change of Ownership | Enhabit Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1396173084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6688 N CENTRAL EXPY",
"address_2": "SUITE 1300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063950",
"telephone_number": "214-239-6500",
"fax_number": "214-239-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BERNARD DR",
"address_2": "SUITE 205",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184357",
"telephone_number": "540-774-4970",
"fax_number": "888-972-8701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCOMPASS HOME HEALTH OF THE MID ATLANTIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTHSOUTH CORPORATION",
"enumeration_date": "2013-10-16",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-239-6500"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "49D1059509",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Encompass Home Health of Western Virginia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Encompass Home Health of Western Virginia",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Eugene H Eng, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.