Kanawha Hospice Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KANAWHA HOSPICE CARE, INC.

Doing business as

Home Health of West Virginia

Practice address

1603 2ND Ave
Charleston, WV 25387-2514

Phone

(304) 941-1941

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Rawlings

Title

Ceo

Phone

(304) 768-8523

Specialties & licenses 1

Addresses

Other names 1

• Home Health of West Virginia Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679221956. Details of each certification follow.

• CCN 517823 Home health agency · Active · Details

Home health agency certification: CCN 517823

Legal name

KANAWHA HOSPICE CARE, INC

Doing business as

HOME HEALTH OF WEST VIRGINIA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 5, 2023

Last certification

May 18, 2023

Organization structure

CorporationNon-profit

Incorporated

Oct 21, 1980 in WV

Enrollment address

1603 2ND Ave
Charleston, WV 25387-2516

Other NPIs with the same Medicare PAC ID 1

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

• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641

  7416973805

  Same PAC ID

Listed as

Home Health of West VirginiaCCN 517823 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Jun 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kanawha Hospice Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641
  NPD tax ID
• Kanawha Hospice Care, Inc

  dba Pallative Care Corporation

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charleston, WV
  • NPI 1699280800
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Shelda A Martin, M.D.

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1275631384

  Corporate Director

  CMS ownership

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrell K. Boggess, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charleston, WV
  • NPI 1255310249
  NPD
• Miranda L Broyles, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
  • NPI 1386980381
  NPD
• Katherine T Calloway, DO

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1912168923
  NPD
• Jennifer Terrice Classen, NP

  • Family Nurse Practitioner
  • Charleston, WV
  • NPI 1205484003
  NPD
• Joshua Paul Ennis, DO

  • Family Medicine Physician
  • Ronceverte, WV
  • NPI 1730703893
  NPD
• Chelsea Feger, DO

  • Family Medicine Physician
  • Lewisburg, WV
  • NPI 1750818316
  NPD
• Celeste K Goodnight, APRN, FNP-BC

  • Family Nurse Practitioner
  • Alum Creek, WV
  • NPI 1831612977
  NPD
• Anna C Holliday, MSN, CFNP

  • Family Nurse Practitioner
  • Huntington, WV
  • NPI 1851539746
  NPD
• Jeffrey Reed McCormick, DO

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1336118587
  NPD
• Theresa Elizabeth Mellette, D.O.

  • Family Medicine Physician
  • Ronceverte, WV
  • NPI 1922488956
  NPD
• Sara Ashley Mooney, FNP

  • Family Nurse Practitioner
  • Charleston, WV
  • NPI 1376944637
  NPD
• Karlie Perkins

  • Family Nurse Practitioner
  • Nitro, WV
  • NPI 1336735679
  NPD

Affiliated clinicians 2

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

• Julie Ann Detemple, MD

  • Family Medicine Physician
  • South Charleston, WV
  • NPI 1376505206

  Home health agency

  Care Compare affiliation
• Karlie Perkins

  • Family Nurse Practitioner
  • Nitro, WV
  • NPI 1336735679

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1679221956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872536",
            "telephone_number": "304-768-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 2ND AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872514",
            "telephone_number": "304-941-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "RAWLINGS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-768-8523"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health of West Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kanawha Home Health Care Inc
• Kanawha Home Health Case Management
• Kanawha Home Health, Inc.
• Kanawha Hospice Care, Inc (HospiceCare)
• Kanawha Hospice Care, Inc (Pallative Care Corporation)
• Kanawha Medical Center Inc
• Kanawha Medical Clinic
• Kanawha Nephrology, Inc.
• Kanawha Pastoral Counseling Center
• Kanawha Surgicenter

• Home Health Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Home Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.

Verify at the official NPI Registry.