NPIMap

Organization Active NPI

Wake Forest Baptist Health Care at Home, LLC

Doing business as Atrium Health Wake Forest Baptist - Care at Home

  • Home Health Agency
  • Wilkesboro, NC
National Provider Identifier
1487075149
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
Doing business as
Atrium Health Wake Forest Baptist - Care at Home
Practice address
126 Executive Dr
Suite 100
Wilkesboro, NC 28697-7571
Phone
(336) 818-3170
NPI assigned
Dec 26, 2013
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Sean Patrick Turner
Title
VP Revenue Cycle
Phone
(810) 360-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

126 Executive Dr
Suite 100
Wilkesboro, NC 28697-7571

Mailing address

PO Box 1509
Louisville, KY 40201-1509

Other names 1

  • Atrium Health Wake Forest Baptist - Care at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410001784 NC Part A Provider - Home Health Agency 8628204989 Practice locations: Wilkesboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487075149. Details of each certification follow.

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
LLCProprietary
Enrollment address
126 Executive Dr
Ste 100
Wilkesboro, NC 28697-7588

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wake Forest Baptist Health Care at Home, LLCCCN 347043 · All quality measures
Overall star rating
4 of 5
Ownership
Government Operated
Certified
Jul 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2076776Atrium Health Wake Forest Baptist -126 Executive Drive, Suite 100, Wilkesboro, NC 28697Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Atrium Health Wake Forest Baptist - Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

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

Locations

126 Executive Dr
Ste 100
Wilkesboro, NC 28697
Phone (336) 818-3170

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Daniel K Feld Individual Corporate OfficerVice President, Tax Apr 1, 2024
Lloyd K Allen Individual Corporate OfficerPresident, Home Health Apr 1, 2024
Corporate DirectorBoard Member Apr 1, 2024
Total Care Home Health of North Carolina, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2014 60%
Jeff Douglas Williamson Individual Corporate DirectorMember Board of Directors Apr 4, 2014
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 60%
Robert M Marcoux Individual Corporate OfficerVice President & Treasurer Apr 1, 2024
Amy H. Crews Individual Corporate DirectorMember Board of Managers Oct 7, 2019
John W Nichols Individual Corporate OfficerAuthorized Signatory, Lic & Cert Mar 1, 2022
Wake Forest University Baptist Medical Center Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2014 40%
Sandra Faw Individual W-2 Managing EmployeeAdministrator Feb 1, 2014
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 60%
Centerwell Health Services Holding Corp Organization, Louisville, KY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2014 60%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 60%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2014 60%
Healthfield, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2014 60%
Healthfield Operating Group, LLC Organization, Atlanta, GA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 14, 2013 60%
Cathy Maya-Matthews Individual Corporate DirectorBoard of Managers Member Feb 1, 2014

Owners & managing parties with NPI records 5

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

Facilities with the same owner 202

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

View all 202

Practitioners & affiliated clinicians

Affiliated clinicians 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1487075149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402011509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 EXECUTIVE DR",
            "address_2": "SUITE 100",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977571",
            "telephone_number": "336-818-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "810-360-3133"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Wake Forest Baptist - Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.