Active NPI
Hospice Plus of Virginia LLC
- Community Based Hospice Care Agency
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE PLUS OF VIRGINIA LLC
- Practice address
- 8500 Leesburg Pike Ste 500
Vienna, VA 22182-2409 - Phone
- (248) 247-9053
- NPI assigned
- Mar 3, 2021
- 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
- Rommel Pinili
- Title
- Owner
- Phone
- (248) 247-9053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
8500 Leesburg Pike Ste 500
Vienna, VA 22182-2409
Mailing address
8500 Leesburg Pike Ste 500
Vienna, VA 22182-2409
Phone (248) 247-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220228001811 | VA | Part A Provider - Hospice | 4385038827 | Practice locations: Vienna, VA |
Hospice certification: CCN 491653
- Legal name
- HOSPICE PLUS OF VIRGINIA LLC
- Doing business as
- CAREGIVERS HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 28, 2023
- Last certification
- Feb 16, 2023
- Organization structure
- LLC
- Incorporated
- Oct 22, 2020 in VA
- Enrollment address
- 8500 Leesburg Pike
Ste 500
Vienna, VA 22182-2409
Care Compare: Hospice
Medicare Care Compare- Listed as
- Caregivers Hospice
- Certified
- Feb 28, 2023
- 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 |
|---|---|---|---|
| 49D2226986 | Hospice Plus of Virginia LLC | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rommel-Allan Stacruz Pinili | 5% Or Greater Direct Ownership Interest | Oct 22, 2020 | 25% |
| Corporate Officer | Oct 22, 2020 | ||
| Corporate Director | Oct 22, 2020 | ||
| W-2 Managing Employee | Oct 22, 2020 | ||
| Eshan Ghavamifard | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 5% |
| Harold Ray Mertz | 5% Or Greater Direct Ownership Interest | Oct 22, 2020 | 25% |
| Corporate Officer | Oct 22, 2020 | ||
| Corporate Director | Oct 22, 2020 | ||
| W-2 Managing Employee | Oct 22, 2020 | ||
| Nasser Saeidi | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 35% |
| Corporate Officer | Oct 22, 2020 | ||
| Corporate Director | Oct 22, 2020 | ||
| W-2 Managing Employee | Oct 22, 2020 | ||
| Ivy Hormillada | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 10% |
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
- Bristow, VA
- NPI 1376270801
Affiliated clinicians 2
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": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1659966455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 LEESBURG PIKE STE 500",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822409",
"telephone_number": "248-247-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 LEESBURG PIKE STE 500",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822409",
"telephone_number": "248-247-9053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE PLUS OF VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "PINILI",
"authorized_official_first_name": "ROMMEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-247-9053"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.