Active NPI
Carilion Medical Center
- Community Based Hospice Care Agency
- Roanoke, VA
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records5
- Other NPIs with the same Medicare PAC ID10
- Practitioners956
- Affiliated clinicians4
- Care Compare: Hospice
- Medicare participation
- All disclosed owners & managing parties16
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers2
- Other names1
- NPI Registry JSON
- Other providers in Roanoke, VA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- EXEMPT
- Legal business name
- CARILION MEDICAL CENTER
- Practice address
- 1917 Franklin Rd SW
Suite B
Roanoke, VA 24014-1103 - Phone
- (540) 224-4753
- NPI assigned
- Aug 31, 2005
- Organization subpart
- Yes
- Parent organization
- CARILION MEDICAL CENTER
Authorized official
NPPES NPI Registry- Name
- Eleanor Altman Prescott
- Title
- Director of Payer Contract Admin.
- Phone
- (504) 224-5379
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Roanoke, VA
- NPI 1790739258
Corporate Director
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
9830096585
-
- Durable Medical Equipment & Medical Supplies
- Rocky Mount, VA
- NPI 1154132280
9830096585
-
- Durable Medical Equipment & Medical Supplies
- Roanoke, VA
- NPI 1851621130
9830096585
-
- Durable Medical Equipment & Medical Supplies
- Roanoke, VA
- NPI 1982908547
9830096585
Practitioners 956
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Roanoke, VA
- NPI 1235737891
-
- Family Nurse Practitioner
- Roanoke, VA
- NPI 1598106478
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1447453980
-
- Physician Assistant
- Roanoke, VA
- NPI 1700455227
-
- Women's Health Nurse Practitioner
- Roanoke, VA
- NPI 1124014816
-
- Child & Adolescent Psychiatry Physician
- Roanoke, VA
- NPI 1245458181
-
- Physician Assistant
- Roanoke, VA
- NPI 1295304905
-
- Women's Health Nurse Practitioner
- Roanoke, VA
- NPI 1558560425
-
- Urology Physician
- Roanoke, VA
- NPI 1700045606
-
- Colon & Rectal Surgery Physician
- Roanoke, VA
- NPI 1992904882
-
- Surgery Physician
- Roanoke, VA
- NPI 1881048833
-
- Orthopaedic Surgery Physician
- Roanoke, VA
- NPI 1124409453
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Roanoke, VA
- NPI 1891226023
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Roanoke, VA
- NPI 1528090602
Hospice
Care Compare: Hospice
Medicare Care Compare- Listed as
- Carilion Hospice Services of Roanoke
- Ownership
- Non-Profit
- Certified
- May 4, 1993
- Medicare certification status
- Active
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000652 | VA | Part A Provider - Hospice | 9830096585 | Practice locations: Roanoke, VA |
Hospice certification: CCN 491515
- Legal name
- CARILION MEDICAL CENTER
- Doing business as
- CARILION HOSPICE SERVICES OF ROANOKE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 4, 1993
- Last certification
- Mar 12, 2015
- Ownership / control type
- Non-Profit - Other
- Organization structure
- Other
- Incorporated
- in VA
- Enrollment address
- 1615 Franklin Road
Roanoke, VA 24016-5208
All disclosed owners & managing parties 16
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| George Robert Vaughan | Corporate Director | Jan 1, 2010 | |
| Ann Hoff | Corporate Director | Oct 1, 2021 | |
| Isabel R Thornton | Corporate Director | Oct 1, 2021 | |
| Michael S Nussbaum | Corporate Director | Oct 1, 2021 | |
| Paul a Haskins | Corporate Director | Oct 1, 2021 | |
| Sarah Kerry Rivelli | Corporate Director | Jan 1, 2026 | |
| Eleanor Prescott | Corporate Director | Oct 14, 2025 | |
| Michael Abbott | Corporate Director | Oct 15, 2024 | |
| Joshua Hartle | Corporate Director | Oct 6, 2025 | |
| Donald B Halliwill | Corporate Director | Apr 1, 2013 | |
| Jamie Greenawalt | Corporate Director | Oct 1, 2023 | |
| Daniel R Tershak | Corporate Director | Oct 1, 2023 | |
| Lee Learman | Corporate Director | Oct 1, 2021 | |
| Janet Frantz | Corporate Director | Oct 1, 2021 | |
| Kimberly Reynolds | W-2 Managing Employee | May 22, 2023 | |
| Kianna Price Marshall | Corporate Director | Oct 1, 2021 |
National Provider Directory
National Provider Directory- Tax ID family
- Carilion Professional B
- Part of
- Carilion Professional B
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
-
- Hospitalist Physician
- Roanoke, VA
- NPI 1073835567
-
- Dental Clinic/Center
- Roanoke, VA
- NPI 1114399276
-
- Durable Medical Equipment & Medical Supplies
- Rocky Mount, VA
- NPI 1154132280
-
- Psychiatric Hospital Unit
- Roanoke, VA
- NPI 1154307155
-
- Durable Medical Equipment & Medical Supplies
- Roanoke, VA
- NPI 1326108184
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1609644988
-
- Early Intervention Provider Agency
- Roanoke, VA
- NPI 1649493032
-
- Early Intervention Provider Agency
- Roanoke, VA
- NPI 1669695052
-
- Early Intervention Provider Agency
- Roanoke, VA
- NPI 1730302126
Locations
1615 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 224-4800
1917 Franklin Rd SW
Ste B
Roanoke, VA 24014
Phone (540) 224-4753
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | EXEMPT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1917 Franklin Rd SW
Suite B
Roanoke, VA 24014-1103
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5452
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004910443 | Medicaid | VA | |
| 235132 | Other | VA | ANTHEM |
Other names 1
NPPES NPI Registry- Carilion Hospice Services of Roanoke
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2026.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1477546844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5452",
"fax_number": "540-224-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 FRANKLIN RD SW",
"address_2": "SUITE B",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141103",
"telephone_number": "540-224-4753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARILION MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARILION MEDICAL CENTER",
"enumeration_date": "2005-08-31",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "PRESCOTT",
"authorized_official_first_name": "ELEANOR",
"authorized_official_middle_name": "ALTMAN",
"authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACT ADMIN.",
"authorized_official_telephone_number": "504-224-5379"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": "EXEMPT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004910443",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "235132",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carilion Hospice Services of Roanoke",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carilion Hospice Services of Roanoke",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.