Organization Active NPI

Virginia Homecare, LLC

Doing business as Advanced Health Services

  • Home Health Agency
  • Roanoke, VA
National Provider Identifier
1427216704
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VIRGINIA HOMECARE, LLC
Doing business as
Advanced Health Services
Practice address
4419 Pheasant Ridge Rd Ste 103
Roanoke, VA 24014-5267
Phone
(540) 278-2890
Fax
(540) 278-2891
NPI assigned
May 23, 2008
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Mr. Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4419 Pheasant Ridge Rd Ste 103
Roanoke, VA 24014-5267

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 2

IdentifierTypeStateIssuer
1427216704MedicaidVA
4974549MedicaidVA

Other names 1

  • Advanced Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000506 VA Part A Provider - Home Health Agency 4688744816 Practice locations: Roanoke, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427216704. Details of each certification follow.

Home health agency certification: CCN 497546

Legal name
VIRGINIA HOMECARE, LLC
Doing business as
ADVANCED HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 15, 1998
Last certification
Jun 9, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 25, 2005 in VA
Enrollment address
4419 Pheasant Ridge Rd
Ste 103
Roanoke, VA 24014-5267

Care Compare: Home health agency

Medicare Care Compare
Listed as
Advanced Health ServicesCCN 497546 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 15, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

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
49D0924787Virginia Homecare, LLC4419 Pheasant Ridge Road, Suite 103, Roanoke, VA 24014Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

360 Arbor Dr
Ste C
Christiansburg, VA 24073
Phone (540) 381-1951

80 College St
Ste F
Christiansburg, VA 24073
Phone (540) 381-1951

315 N Main St
Pearisburg, VA 24134
Phone (540) 921-3777

58 N Washington Ave
Ste 516
Pulaski, VA 24301
Phone (540) 994-9811

65 E Main St
Ste D
Pulaski, VA 24301
Phone (540) 267-5838

3800 Electric Rd
Ste 202
Roanoke, VA 24018
Phone (540) 278-2890

4419 Pheasant Ridge Rd
Ste 103
Roanoke, VA 24014
Phone (540) 278-2890

710 W Ridge Rd
Ste B
Wytheville, VA 24382
Phone (276) 227-0532

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
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
Amy Carter Individual W-2 Managing Employee Apr 8, 2024
Virginia Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2008 100%
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 1, 2008 100%
Operational/Managerial Control Jun 1, 2008
Joshua Lee Proffitt Individual Corporate OfficerPresident Aug 1, 2012
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 1

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1427216704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 PHEASANT RIDGE RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145267",
            "telephone_number": "540-278-2890",
            "fax_number": "540-278-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427216704",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4974549",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.