Athc - Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Williamsburg, VA
NPI 1437541372 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1437541372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ATHC - HOSPICE, LLC
- Practice address
- 287 McLaws Cir Ste 1
Williamsburg, VA 23185-5872 - Phone
- (757) 634-0109
- Fax
- (757) 634-0159
- NPI assigned
- Mar 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Jay Koeper
- Title
- President
- Phone
- (502) 394-2100
Owners & managing parties with NPI records 1
-
George Joseph Mehfoud, M.D.
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Member of 1
Facilities with the same owner 151
Affiliated clinicians 1
-
George Joseph Mehfoud, M.D.
Medicare Care Compare: Hospice
- Listed as
- Athc - Hospice LLC
- Ownership
- For-Profit
- Certified
- Feb 3, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2096286 | Athc - Hospice, LLC | Certificate of waiver | May 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospice certification: CCN 491619
- Legal name
- ATHC - HOSPICE, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 3, 2016
- Last certification
- Feb 3, 2016
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 5, 2010 in VA
- Enrollment address
- 287 McLaws Cir
Ste 1
Williamsburg, VA 23185-5872
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Koeper |
Corporate Officer |
Jul 14, 2023 | |
| Corporate Director |
Jul 14, 2023 | ||
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 20% |
| Silverton Abode Holding Corporation |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| George J Mehfoud |
Contracted Managing Employee |
Sep 28, 2018 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Dec 3, 2021 | |
| Corporate Director |
Dec 3, 2021 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Intermediate Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Silverton Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Abode Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Jun 28, 2012 | 100% |
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 20% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 48% |
| Melissa Doyle |
W-2 Managing Employee |
Jul 8, 2025 | |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 42% |
| Michael a McMaude |
Corporate Officer |
Jun 28, 2012 | |
| Corporate Director |
Jun 28, 2012 | ||
| Silverton Abode, LLC |
5% Or Greater Indirect Ownership Interest | Aug 28, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151106000169 | VA | Part a Provider - Hospice | 1658556147 | Practice locations: Williamsburg, VA |
National Provider Directory
- Tax ID family
- Athc - Hospice LLC
Locations
287 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 564-6220
291 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 634-0109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
287 McLaws Cir Ste 1
Williamsburg, VA 23185-5872
Mailing address
287 McLaws Cir Ste 1
Williamsburg, VA 23185-5872
Phone (757) 634-0109
Other providers in Williamsburg, VA
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- Alexis Asprah
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- At Home Care Staffing - Williamsburg
- Kathryn Goss Atanasov
- Melissa Aries Atiyeh
- Katie Austin
- Authentic Self Association LLC
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All providers in Williamsburg, VA · Community Based Hospice Care Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.