Wake Forest Baptist Health Care at Home, LLC
Organization Active NPI Home Health Agency · Wilkesboro, NC
NPI 1487075149 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1487075149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
- Practice address
- 126 Executive Dr
Suite 100
Wilkesboro, NC 28697-7571 - Phone
- (336) 818-3170
- NPI assigned
- Dec 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Owners & managing parties with NPI records 5
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Member of 1
Facilities with the same owner 202
Affiliated clinicians 37
-
Kristy McLeod Bray, APRN
-
Mary Lou Church, M.D.
-
Zbigniew Cichon, M.D.
-
Miriana Lyon Hamilton, PA-C
-
Cornelia Kurth-Bowen, PA-C
-
Ashton Coffey Macdonald, PA-C
-
Jennifer Dickerson McDonald, FNP-BC
-
Sarah Shepherd Miller, RN, DNP, FNP-C
-
Ashton Vishnu Molai, D.O
-
Pamela L Myers, P.A.-C
-
Frank Edward Pollock Jr., M.D.
Medicare Care Compare: Home health agency
- Listed as
- Wake Forest Baptist Health Care at Home, LLC
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Government Operated
- Certified
- Jul 1, 1974
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2076776 | Atrium Health Wake Forest Baptist - | Certificate of waiver | Apr 24, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Home health agency certification: CCN 347043
- Legal name
- WAKE FOREST BAPTIST HEALTH CARE AT HOME LLC
- Doing business as
- ATRIUM HEALTH WAKE FOREST BAPTIST - CARE AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1974
- Last certification
- Mar 16, 2012
- Ownership / control type
- Government Operated
- Organization structure
- LLC · Proprietary
- Enrollment address
- 126 Executive Dr
Ste 100
Wilkesboro, NC 28697-7588
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel K Feld |
Corporate Officer |
Apr 1, 2024 | |
| Lloyd K Allen |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Total Care Home Health of North Carolina, LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2014 | 60% |
| Jeff Douglas Williamson |
Corporate Director |
Apr 4, 2014 | |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 60% |
| Robert M Marcoux |
Corporate Officer |
Apr 1, 2024 | |
| Amy H. Crews |
Corporate Director |
Oct 7, 2019 | |
| John W Nichols |
Corporate Officer |
Mar 1, 2022 | |
| Wake Forest University Baptist Medical Center |
5% Or Greater Direct Ownership Interest | Feb 1, 2014 | 40% |
| Sandra Faw |
W-2 Managing Employee |
Feb 1, 2014 | |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 60% |
| Centerwell Health Services Holding Corp |
5% Or Greater Indirect Ownership Interest | Feb 1, 2014 | 60% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Feb 1, 2014 | 60% |
| Healthfield, LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2014 | 60% |
| Healthfield Operating Group, LLC |
5% Or Greater Indirect Ownership Interest | Sep 14, 2013 | 60% |
| Cathy Maya-Matthews |
Corporate Director |
Feb 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140410001784 | NC | Part a Provider - Home Health Agency | 8628204989 | Practice locations: Wilkesboro, NC |
National Provider Directory
- Tax ID family
- Atrium Health Wake Forest Baptist - Care
Locations
2000 Frontis Plaza Blvd
Ste 303
Winston Salem, NC 27103
Phone (336) 760-1838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
126 Executive Dr
Suite 100
Wilkesboro, NC 28697-7571
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487075149 | Medicaid | NC |
Other names
- Atrium Health Wake Forest Baptist - Care at Home
Other providers in Wilkesboro, NC
- Voca Corporation of North Carolina, Inc.
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- Voca Corporation of North Carolina, Inc.
- Michael Edward Vollmer
- Kayla Riley Wagoner
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walmart Pharmacy
- Tessa Walter
- Brandon Ward
All providers in Wilkesboro, NC · Home Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 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.