Organization Active NPI

Richmond County Hospice Inc

  • Community Based Hospice Care Agency
  • Rockingham, NC
National Provider Identifier
1619977170
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC0424 Issued in NC
Legal business name
RICHMOND COUNTY HOSPICE INC
Practice address
1119 N. US Highway 1
Rockingham, NC 28379
Phone
(910) 997-4464
Fax
(910) 997-4484
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Marvin Taylor
Title
Director of Finance
Phone
(910) 997-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC0424 NC Primary

Addresses

Primary practice location

1119 N. US Highway 1
Rockingham, NC 28379

Mailing address

1119 N. US Hwy 1
Rockingham, NC 28379
Phone (910) 997-4464

Other identifiers 2

IdentifierTypeStateIssuer
3401556MedicaidNC
0022ROtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412001502 NC Part A Provider - Hospice 7517974579 Practice locations: Rockingham, NC

Hospice certification: CCN 341556

Legal name
RICHMOND COUNTY HOSPICE INC
Doing business as
ANSON COMMUNITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 4, 1991
Last certification
Nov 21, 2008
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 10, 1985 in NC
Enrollment address
1119 N US Highway 1
Rockingham, NC 28379-8513

Care Compare: Hospice

Medicare Care Compare
Listed as
Richmond County Hospice IncCCN 341556
Ownership
Non-Profit
Certified
Dec 4, 1991
Medicare certification status
ActiveFrom the Provider of Services file

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
34D0245522Richmond County Hospice1119 N US Hwy 1, Rockingham, NC 28379Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

1119 N US Highway 1
Rockingham, NC 28379
Phone (910) 997-4464

110 S Green St
Wadesboro, NC 28170
Phone (704) 695-1595

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Steve Crews Individual Corporate OfficerBoard Member Jan 1, 2007
Kristina Leyden Individual Corporate OfficerCeo Mar 1, 2015
W-2 Managing EmployeeCeo Jun 25, 2012
Marvin Taylor Individual W-2 Managing EmployeeDirector of Finance Sep 6, 2014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1619977170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N. US HWY 1",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-997-4464",
            "fax_number": "910-997-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N. US HIGHWAY 1",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-997-4464",
            "fax_number": "910-997-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND COUNTY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "910-997-4464"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401556",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0022R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.