NPIMap

Organization Active NPI

University Health Services, Inc.

Doing business as University Home Health North Augusta

  • Home Health Agency
  • North Augusta, SC
National Provider Identifier
1457309676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-137 Issued in SC
Legal business name
UNIVERSITY HEALTH SERVICES, INC.
Doing business as
University Home Health North Augusta
Practice address
106B E Martintown Rd
North Augusta, SC 29841-3425
Phone
(803) 278-0770
Fax
(803) 278-0771
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jason Moore
Title
Exec VP/Coo
Phone
(706) 722-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-137 SC Primary

Addresses

Primary practice location

106B E Martintown Rd
North Augusta, SC 29841-3425

Mailing address

106B E Martintown Rd
North Augusta, SC 29841-3425
Phone (803) 278-0770

Other identifiers 2

IdentifierTypeStateIssuer
473009MedicaidSC
6659OtherJCAHO

Other names 1

  • University Home Health North Augusta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027000976 SC Part A Provider - Home Health Agency 2163842451 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Augusta, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457309676. Details of each certification follow.

Home health agency certification: CCN 427300

Legal name
LHCG CLXVI, LLC
Doing business as
UNIVERSITY HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 1981
Last certification
Nov 22, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 8, 2020 in SC
Enrollment address
802 E Martintown Rd
Ste 401
North Augusta, SC 29841-5328

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
University Home HealthCCN 427300 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 1, 1981
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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1348 Walton Way
Ste 5300
Augusta, GA 30901
Phone (706) 288-3090

2258 Wrightsboro Rd
Ste 170
Augusta, GA 30904
Phone (706) 481-7706

818 Saint Sebastian Way
Ste 305
Augusta, GA 30901
Phone (706) 724-3926

4350 Towne Centre Dr
Ste 3100
Evans, GA 30809
Phone (706) 774-7012

925 Branch Ct
Grovetown, GA 30813
Phone (706) 396-3570

925 Branch Ct
Ste 301
Grovetown, GA 30813
Phone (706) 396-1408

925 Branch Ct
Ste 401
Grovetown, GA 30813
Phone (706) 396-1188

121 Roger Shaw St
Swainsboro, GA 30401
Phone (478) 237-2857

510 Augusta Rd
Ste A
Edgefield, SC 29824
Phone (803) 637-9200

106B E Martintown Rd
North Augusta, SC 29841
Phone (803) 278-0770

401 W Martintown Rd
Ste 106
North Augusta, SC 29841
Phone (803) 278-0770

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
University Health Services,Inc Organization, Augusta, GA Corporation, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 75%
Robert C Cross Individual Corporate DirectorVP Government Reimbursement Dec 31, 2025
W-2 Managing EmployeeVP Government Reimbursement Dec 31, 2025
Joshua Lee Proffitt Individual Corporate Officer Oct 1, 2020

Owners & managing parties with NPI records 1

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

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the seller University Home Health ServicesCCN 427300, SC, NPI 1013528918

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457309676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106B E MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413425",
            "telephone_number": "803-278-0770",
            "fax_number": "803-278-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106B E MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413425",
            "telephone_number": "803-278-0770",
            "fax_number": "803-278-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EXEC VP/COO",
        "authorized_official_telephone_number": "706-722-9011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473009",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "6659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Home Health North Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.