NPIMap

Organization Active NPI

Schha, LLC

Doing business as MUSC Health at Home, by BAYADA - Conway

  • Home Health Agency
  • Myrtle Beach, SC
National Provider Identifier
1396261095
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SCHHA, LLC
Doing business as
MUSC Health at Home, by BAYADA - Conway
Practice address
1117 48TH Ave N Ste 125
Myrtle Beach, SC 29577-5442
Phone
(843) 492-6602
Fax
(843) 492-6609
NPI assigned
Aug 15, 2017
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYADA HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Enrico Joseph Ballezzi
Title
President
Phone
(609) 575-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SC Primary

Addresses

Primary practice location

1117 48TH Ave N Ste 125
Myrtle Beach, SC 29577-5442

Mailing address

4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159

Other names 1

  • MUSC Health at Home, by BAYADA - Conway Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180405000596 SC Part A Provider - Home Health Agency 6406132588 Practice locations: Myrtle Beach, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396261095. Details of each certification follow.

Home health agency certification: CCN 427135

Legal name
SCHHA LLC
Doing business as
MUSC HEALTH AT HOME BY BAYADA-CONWAY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 12, 2018
Last certification
Jul 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1117 48TH Ave N
Ste 125
Myrtle Beach, SC 29577-5442

Other NPIs with the same Medicare PAC ID 2

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

  • Schha, LLC

    dba MUSC Health at Home, by BAYADA - Charleston

    • Home Health Agency
    • Charleston, SC
    • NPI 1609310929

    6406132588

    Same PAC ID
  • Schha, LLC

    dba MUSC Health Hospice at Home by BAYADA - Charleston

    • Community Based Hospice Care Agency
    • Charleston, SC
    • NPI 1780343400

    6406132588

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
Musc Health at Home by Bayada-ConwayCCN 427135 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Jul 12, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Schha LLC2 organizations share this tax ID, including this one
Part of
Bayada Home Care

Other organizations with this tax ID 1

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

  • Schha, LLC

    dba MUSC Health Hospice at Home by BAYADA - Charleston

    • Community Based Hospice Care Agency
    • Charleston, SC
    • NPI 1780343400
    NPD tax ID

Locations

1300 Highway 544
Unit F107
Conway, SC 29526

1117 48th Ave N
Ste 125
Myrtle Beach, SC 29577
Phone (843) 492-6602

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
Andrew Gentile Individual Corporate OfficerSecretary Dec 4, 2025
Corporate DirectorBoard Member Dec 4, 2025
Saju D Joy Individual Corporate DirectorBoard Member Mar 6, 2024
Jennifer Thorpe Individual Corporate DirectorBoard Member Oct 7, 2024
Bayada Home Care Organization, Honolulu, HI Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Dec 26, 2016 51%
Musc Strategic Ventures Organization, Charleston, SC Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Dec 26, 2016 49%
Allison Hahn Individual Corporate DirectorBoard Member Dec 4, 2025
Michael P. Johnson Individual Corporate OfficerPresident Dec 4, 2025
Corporate DirectorBoard Member Dec 4, 2025
Thomas C Crawford Individual Corporate OfficerTreasurer Feb 22, 2024
Corporate DirectorBoard Member Feb 22, 2024
Christine Grabowiecki Individual W-2 Managing EmployeeAd; Dec 3, 2024
Operational/Managerial ControlAdministrator Dec 3, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 71

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

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1396261095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HADDONFIELD RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093376",
            "telephone_number": "973-909-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 48TH AVE N STE 125",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775442",
            "telephone_number": "843-492-6602",
            "fax_number": "843-492-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHHA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYADA HOME CARE",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "BALLEZZI",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-575-3206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Health at Home, by BAYADA - Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Health at Home, by BAYADA - Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.