Active NPI
Richmond County Hospice Inc
- Community Based Hospice Care Agency
- Rockingham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HC0424
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401556 | Medicaid | NC | |
| 0022R | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Non-Profit
- Certified
- Dec 4, 1991
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0245522 | Richmond County Hospice | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Steve Crews | Corporate Officer | Jan 1, 2007 | |
| Kristina Leyden | Corporate Officer | Mar 1, 2015 | |
| W-2 Managing Employee | Jun 25, 2012 | ||
| Marvin Taylor | W-2 Managing Employee | 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.
-
- Family Nurse Practitioner
- Rockingham, NC
- NPI 1386268266
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
- Richmond County DSS
- Richmond County DSS
- Richmond County Government
- Richmond County Health Department
- Richmond County Health Department Pharmacy
- Richmond County Rescue Mission Inc.
- Richmond Foot Clinic P.a.
- Richmond Interagency Transportation Inc
- Richmond Internal Medicine and Cardiology Associates PA
- Richmond OB GYN PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.