NPIMap

Organization Active NPI

Healthaccess, Inc.

Doing business as Vidant Home Health and Hospice

  • Home Health Agency
  • Washington, NC
National Provider Identifier
1588959225
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1634 Issued in NC
Legal business name
HEALTHACCESS, INC.
Doing business as
Vidant Home Health and Hospice
Practice address
1211 Highland Dr
Washington, NC 27889-3405
Phone
(252) 975-8330
Fax
(252) 948-4801
NPI assigned
Jun 10, 2011
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Travis L Douglass
Title
President
Phone
(252) 847-9168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X NU
Home Health Agency 251E00000X HC1634 NC Primary

Addresses

Primary practice location

1211 Highland Dr
Washington, NC 27889-3405

Mailing address

PO Box 8125
Greenville, NC 27835-8125
Phone (252) 847-7830

Other identifiers 1

IdentifierTypeStateIssuer
3407250MedicaidNC

Other names 1

  • Vidant Home Health and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110908002038 NC Part A Provider - Home Health Agency 5395658322 Practice locations: Washington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588959225. Details of each certification follow.

Home health agency certification: CCN 347250

Legal name
HEALTHACCESS, INC.
Doing business as
ECU HEALTH HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 13, 2011
Last certification
Nov 7, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 1983 in NC
Enrollment address
1211 Highland Drive
Washington, NC 27889-3405

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vidant Home Health and HospiceCCN 347250 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Dec 13, 2011
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
Tax ID family
East Carolina Health SRVS8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1211 Highland Dr
Washington, NC 27889
Phone (252) 975-8330

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Scottie Simmons Individual W-2 Managing EmployeeManager Sep 9, 2012
David S Hughes Individual Corporate Officer Feb 6, 2012
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation 5% Or Greater Direct Ownership Interest Sep 1, 2011 100%
Daniel Drake Individual Corporate OfficerPresident Jul 8, 2018
Michael R Waldrum Individual Corporate DirectorDirector and Ceo Jun 1, 2015

Facilities with the same owner 7

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

  • Acadia-Vidant Joint Venture, LLC

    dba ECU Health-Behavioral Health Hospital

    • Psychiatric Hospital
    • Greenville, NC
    • NPI 1770313470

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • East Carolina Health - Heritage Inc

    dba Vidant Family Medicine-Pinetops a department of Vidant Edgecombe Hospi

    • Rural Health Clinic/Center
    • Pinetops, NC
    • NPI 1821076589

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • Healthaccess, Inc

    dba Vidant Home Health and Hospice

    • Home Health Agency
    • Kenansville, NC
    • NPI 1134599137

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • Healthaccess, Inc

    dba Vidant Home Health and Hospice

    • Community Based Hospice Care Agency
    • Kenansville, NC
    • NPI 1952771958

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • Healthaccess, Inc.

    dba Vidant Home Health and Hospice

    • Community Based Hospice Care Agency
    • Greenville, NC
    • NPI 1073516894

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • Healthaccess, Inc.

    dba Vidant Home Health and Hospice

    • Home Health Agency
    • Windsor, NC
    • NPI 1932181864

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership
  • The Outer Banks Hospital Inc
    • Critical Access Hospital
    • Nags Head, NC
    • NPI 1053375253

    University Health Systems of Eastern Carolina, Inc.

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1588959225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358125",
            "telephone_number": "252-847-7830",
            "fax_number": "252-847-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HIGHLAND DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893405",
            "telephone_number": "252-975-8330",
            "fax_number": "252-948-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHACCESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-9168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407250",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vidant Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.