NPIMap

Organization Active NPI

Sentara Enterprises

  • Home Health Agency
  • South Boston, VA
National Provider Identifier
1659911501
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENTARA ENTERPRISES
Practice address
2200 Wilborn Ave
South Boston, VA 24592-1645
Phone
(434) 517-3339
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Teresa L Edwards
Title
President & CVP
Phone
(757) 553-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2200 Wilborn Ave
South Boston, VA 24592-1645

Mailing address

535 Independence Pkwy Ste 200
Chesapeake, VA 23320-5176
Phone (757) 553-3000

Other names 1

  • Sentara Home Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414001453 VA Part A Provider - Home Health Agency 6608770151 Practice locations: South Boston, VA

Home health agency certification: CCN 497287

Legal name
SENTARA ENTERPRISES
Doing business as
SENTARA HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 2, 1984
Last certification
Nov 15, 2012
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in VA
Enrollment address
2200 Wilborn Ave
South Boston, VA 24592-1645

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sentara Home Care Services (Halifax)CCN 497287
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 2, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
49D2172019Sentara Halifax Home Care Services2200 Wilborn Ave, South Boston, VA 24592Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sentara Enterprises Amb19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Melinda Hancock Individual Corporate OfficerTreasurer Dec 30, 2024
Corporate DirectorBod - Evp & Cfo Dec 30, 2024
Dennis Matheis Individual Corporate OfficerCeo Sep 1, 2022
Eric Conley Individual Corporate OfficerChair Aug 27, 2024
Corporate DirectorBod-Evp-Acute-Post Acute Aug 27, 2024
Earl Barnes Individual Corporate OfficerSecretary Jun 6, 2022
Katrina M Melton Individual Corporate OfficerPresident Dec 30, 2024
Corporate DirectorBod-Gov Body Member-VP Post Acute Dec 30, 2024
Ramona Lovelle Patterson Individual W-2 Managing EmployeeAd; Sep 29, 2025
Sunil Patel Individual Corporate DirectorGoverning Body Member Dec 30, 2024
David Lee Parks Individual Corporate DirectorGoverning Body Member Jun 1, 2025
W-2 Managing Employee Jun 1, 2025
Nicole Hayden Individual W-2 Managing EmployeeInterim Director of HHA Jan 2, 2026
Sentara Health Organization, Norfolk, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 26, 2013 100%

Facilities with the same owner 30

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

View all 30

Change-of-ownership history 1

DateEventCounterparty
Feb 2, 2020 Change of OwnershipThis provider was the buyer Sentara Halifax Home HealthCCN 497287, VA, NPI 1972563872

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1659911501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000",
            "fax_number": "757-382-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CVP",
        "authorized_official_telephone_number": "757-553-3000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.