NPIMap

S & S Health Care, Inc.

Organization Active NPI Home Health Agency · Roanoke, VA

NPI 1437101029 · NPPES record last updated Sep 21, 2010

Key facts

NPI
1437101029
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
S & S HEALTH CARE, INC.
Practice address
4395 Electric Rd
Roanoke, VA 24018-0721
Phone
(540) 774-8686
Fax
(540) 774-0279
NPI assigned
May 16, 2006
Organization subpart
No

Authorized official

Name
Mitchell P Davis
Title
Ceo/Owner
Phone
(540) 744-8686

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 9

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

Facilities with the same owner 5

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

Practitioners 5

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

Affiliated clinicians 6

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

Medicare Care Compare: Home health agency

Listed as
Interim Healthcare of Roanoke CCN 497022
Overall star rating
★★★☆☆ 3 of 5
Ownership
Proprietary
Certified
Aug 7, 1985
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1036034Interim Healthcare
1013 E Main Street, Salem, VA 24153		Certificate of waiverJan 18, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VA

Home health agency certification: CCN 497022B

Legal name
S & S HEALTH CARE, INC
Doing business as
INTERIM HEALTHCARE
Organization structure
Corporation · Proprietary
Incorporated
May 22, 1989 in VA
Enrollment address
1013 E Main St
Salem, VA 24153-4419

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Tonya Harris
Individual 		W-2 Managing Employee
VP of Operations		 Dec 1, 2016
Brian Runk
Individual 		5% Or Greater Indirect Ownership Interest Aug 1, 2022 5%
Donna Byrd
Individual 		5% Or Greater Indirect Ownership Interest Jan 1, 2024 90%
Corporate Officer
President		 Jan 1, 2024
Corporate Director
President		 Jan 1, 2024
Karen Atkins
Individual 		W-2 Managing Employee
Governing Body Member		 Sep 6, 2010
Cindy Davis
Individual 		Corporate Officer
Treasurer		 Jul 25, 2008
Corporate Director
Board Member		 Jul 25, 2008
Vickie Runk
Individual 		5% Or Greater Indirect Ownership Interest Aug 1, 2022 5%
Kace Enterprises, Inc
Organization · Salem, VA
Corporation 		5% Or Greater Direct Ownership Interest Jul 25, 2008 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030716000000 VA Part a Provider - Home Health Agency 0143139543 Practice locations: Salem, VA
O20220228001006 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143139543 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, VA

National Provider Directory

Tax ID family
Interim Healthcare (10 organizations share this tax ID)

Locations

211 Roanoke St
Christiansburg, VA 24073
Phone (276) 963-4452

100 Arbor Dr
Ste 108
Christiansburg, VA 24073
Phone (540) 443-3428

2276 Franklin Tpke
Ste 117
Danville, VA 24540
Phone (434) 836-4686

108 Holbrook St
Ste 204205
Danville, VA 24541
Phone (434) 836-4686

103 Linkous Ave
Dublin, VA 24084
Phone (276) 200-2606

10340 Democracy Ln
Fairfax, VA 22030
Phone (276) 200-2606

530 E Stuart Dr
Galax, VA 24333
Phone (276) 236-6066

1020 E Stuart Dr
Galax, VA 24333
Phone (540) 236-6066

2255 Langhorne Rd
Ste 6
Lynchburg, VA 24501
Phone (434) 832-7460

517 Leesville Rd
Ste 102
Lynchburg, VA 24502
Phone (434) 832-7460

1650 Willow Lawn Dr
Ste 200
Richmond, VA 23230
Phone (804) 282-5600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

4395 Electric Rd
Roanoke, VA 24018-0721

Mailing address

4395 Electric Rd
Roanoke, VA 24018-0721
Phone (540) 774-8686

Other identifiers

IdentifierTypeStateIssuer
008700150MedicaidVA
008750173MedicaidVA
780017OtherVAANTHEM
008770018MedicaidVA

Other names

  • Interim HealthCare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2010.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1437101029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180721",
            "telephone_number": "540-774-8686",
            "fax_number": "540-774-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180721",
            "telephone_number": "540-774-8686",
            "fax_number": "540-774-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "540-744-8686"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008700150",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008750173",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "780017",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008770018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

All providers in Roanoke, VA · Home Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.