NPIMap

Organization Active NPI

Home & Heart Health Inc

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1659411981
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME & HEART HEALTH INC
Practice address
701 Kenmore Ave
Suite 101a
Fredericksburg, VA 22401-5737
Phone
(540) 899-3666
Fax
(540) 899-3077
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Kaye D. Pegelow, R.N.
Title
Administrative Director
Phone
(540) 899-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

701 Kenmore Ave
Suite 101a
Fredericksburg, VA 22401-5737

Mailing address

701 Kenmore Ave
Suite 101a
Fredericksburg, VA 22401-5737
Phone (540) 899-3666

Other identifiers 2

IdentifierTypeStateIssuer
114412OtherVABCBS - ANTHEM
49-7422-1MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100621000416 VA Part A Provider - Home Health Agency 1557491446 Practice locations: Fredericksburg, VA

Home health agency certification: CCN 497541

Legal name
HOME & HEART HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 1997
Last certification
Jan 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 14, 1997 in VA
Enrollment address
701 Kenmore Ave
Ste 101a
Fredericksburg, VA 22401-5737

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home & Heart Health, IncCCN 497541
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 27, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

701 Kenmore Ave
Ste 101A
Fredericksburg, VA 22401
Phone (540) 899-3666

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Pamela Mace-Murray Individual 5% Or Greater Direct Ownership InterestDirector Professional Services/Cfo Aug 27, 1997 50%
Corporate OfficerCfo Jan 14, 1997
Corporate DirectorDirector of Professional Services Aug 27, 1997
W-2 Managing EmployeeDirector of Professional Services Aug 27, 1997
Kaye D Pegelow Individual 5% Or Greater Direct Ownership InterestAdministrator/Ceo/Secretary Aug 27, 1997 50%
Corporate OfficerCeo Jan 14, 1997
Corporate DirectorAdministrator Aug 27, 1997
W-2 Managing EmployeeAdministrator Aug 27, 1997

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1659411981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE",
            "address_2": "SUITE 101A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015737",
            "telephone_number": "540-899-3666",
            "fax_number": "540-899-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE",
            "address_2": "SUITE 101A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015737",
            "telephone_number": "540-899-3666",
            "fax_number": "540-899-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME & HEART HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PEGELOW",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "540-899-3666",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - ANTHEM",
            "identifier": "114412",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-7422-1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.