NPIMap

Organization Active NPI

Adoration Home Health Care Virginia LLC

Doing business as Advanced Home Health

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1679540132
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADORATION HOME HEALTH CARE VIRGINIA LLC
Doing business as
Advanced Home Health
Practice address
1100 S Stratford Rd Ste 410
Winston Salem, NC 27103-3217
Phone
(336) 896-3100
Fax
(800) 311-7783
NPI assigned
Mar 3, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Margaret S Pemberton
Title
Vice President
Phone
(502) 272-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1100 S Stratford Rd Ste 410
Winston Salem, NC 27103-3217

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 630-7425

Other identifiers 3

IdentifierTypeStateIssuer
007CPOtherNCBCBSNC
1027449OtherNCUHC ACM
13151OtherNCPARTNERS

Other names 1

  • Advanced Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515002500 NC Part A Provider - Home Health Agency 4082043138 Practice locations: Winston Salem, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679540132. Details of each certification follow.

Home health agency certification: CCN 347005

Legal name
ADORATION HOME HEALTH CARE VIRGINIA, LLC
Doing business as
ADORATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 1966
Last certification
Jan 16, 2003
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Jul 31, 2018 in DE
Enrollment address
1100 S Stratford Rd
Building B, Ste 410
Winston Salem, NC 27103-3217

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 347005 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Aug 15, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
34D2215947Adoration Home Health1100 South Stratford Road, BLDG B Ste 410, Winston-Salem, NC 27103Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adoration Home Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Allison Brown Individual Corporate OfficerSecretary May 15, 2022
Margaret Sherry Pemberton Individual Corporate Officer Mar 1, 2020
Corporate Director Mar 1, 2020
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Edwinna Swan Individual W-2 Managing EmployeeAd; Sep 23, 2024
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Elizabeth Robinson Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 68%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adoration Home HealthAnnandale, VA, CCN 497638 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 20, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 150

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

  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Reidsville, NC
    • NPI 1063667210

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Concord, NC
    • NPI 1083623086

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Gastonia, NC
    • NPI 1134138142

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • High Point, NC
    • NPI 1164499562

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health and Hospice

    • Home Health Agency
    • Nags Head, NC
    • NPI 1184296279

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health and Hospice

    • Community Based Hospice Care Agency
    • Nags Head, NC
    • NPI 1306510318

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Lenoir, NC
    • NPI 1417294836

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Mebane, NC
    • NPI 1689641144

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Elizabethtown, NC
    • NPI 1699213538

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Charlotte, NC
    • NPI 1710955489

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Albemarle, NC
    • NPI 1730785205

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings I

    CMS ownership
  • Adoration Home Health Care Virginia LLC

    dba Adoration Home Health

    • Home Health Agency
    • Salisbury, NC
    • NPI 1790885945

    Adoration Home Health & Hospice Inc, Adoration Home Health Care LLC, Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Rescare H

    CMS ownership
View all 150

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2020 Change of OwnershipThis provider was the buyer Advanced Home Care IncCCN 347005, NC

Practitioners & affiliated clinicians

Affiliated clinicians 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1679540132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-630-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S STRATFORD RD STE 410",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033217",
            "telephone_number": "336-896-3100",
            "fax_number": "800-311-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-272-3466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "007CP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ACM",
            "identifier": "1027449",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "13151",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.