Maryview Hospital, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARYVIEW HOSPITAL, LLC

Doing business as

Bon Secours Home Care

Practice address

7007 Harbour View Blvd Ste 114
Suffolk, VA 23435-3657

Phone

(757) 889-4663

Fax

(757) 393-4762

NPI assigned

Jun 2, 2005

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly M Ralston

Title

VP Reimbursement

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• BON SECOURS HOME CARE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

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

• Compassus BSMH Hampton Roads HHA LLC

  dba Bon Secours Home Care by Compassus

  • Home Health Agency
  • Suffolk, VA
  • NPI 1508684457

  Sold to, 2024-04-23

  CMS change of ownership

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1518969617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639898",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639898",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 HARBOUR VIEW BLVD STE 114",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353657",
            "telephone_number": "757-889-4663",
            "fax_number": "757-393-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Business Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626574",
            "country_code": "US",
            "telephone_number": "757-213-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Denbigh Blvd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236084414",
            "country_code": "US",
            "telephone_number": "757-883-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA, OPTIMA",
            "identifier": "26198",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "148668900",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "001801",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, OPTIMUM, GEHA",
            "identifier": "231526",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4972457",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital (Bon Secours Suffolk Primary Care)
• Maryview Hospital LLC (Internists of Churchland)
• Maryview Hospital LLC (Nansemond Suffolk Family Practice)
• Maryview Hospital LLC (Harbour View Family Practice)
• Maryview Hospital LLC (Bon Secours Oncology Specialists)
• Maryview Hospital, LLC (Bon Secours Hospice)
• Jessica Anne Mason, M.D.
• Michele Mason
• Monica Lavern Mason, LCSW
• Jennifer Massa

• Home Health Agency in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.