Adoration Home Health Care Virginia LLC
Organization Active NPI Home Health Agency · Elizabethtown, NC
NPI 1699213538 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1699213538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADORATION HOME HEALTH CARE VIRGINIA LLC
- Practice address
- 107 N Gillespie St
Elizabethtown, NC 28337-9590 - Phone
- (910) 862-6901
- Fax
- (800) 311-7783
- NPI assigned
- Feb 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Margaret S Pemberton
- Title
- Vice President/Manager
- Phone
- (502) 272-3466
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 13
Member of 4
Facilities with the same owner 151
Affiliated clinicians 29
-
Ericka Elizabeth Carter, P.A - C
-
Daniel Dawson, MD
-
Dean Karras, MD
-
Andre John Leonard, M.D.
-
Kimberly J Martin, PA-C
-
Darren J Pearson, MD
-
Terry Lee Pieper, MD
-
Maria Rivell, MD
-
Mary Kathryn Rudyk, M.D.
-
Vishavpreet Singh, M.D.
-
Kerry Allyson Smith, DPM
Medicare Care Compare: Home health agency
- Listed as
- Adoration Home Health
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Sep 24, 1979
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2215942 | Adoration Home Health | Certificate of waiver | Mar 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Home health agency certification: CCN 347097
- 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
- Sep 24, 1979
- Last certification
- Apr 19, 2018
- Ownership / control type
- Non-Profit
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 31, 2018 in DE
- Enrollment address
- 107 N Gillespie St
Elizabethtown, NC 28337-9590
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Phipps |
Corporate Officer |
Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 29% |
| Adoration Home Health & Hospice Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Allison Brown |
Corporate Officer |
May 15, 2022 | |
| Melissa Dent |
W-2 Managing Employee |
Mar 1, 2020 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Mar 1, 2020 | |
| Corporate Director |
Mar 1, 2020 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Elizabeth Robinson |
Corporate Officer | Aug 1, 2024 | |
| Corporate Director | Aug 1, 2024 | ||
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 29% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 68% |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 68% |
| Adoration Home Health Care LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2020 | 100% |
| Rescare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Adoration Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 20, 2023 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2020 | Change of Ownership |
Advanced Home Care Inc |
| Mar 1, 2020 | Change of Ownership |
Adoration Home Health |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200515002535 | NC | Part a Provider - Home Health Agency | 4082043138 | Practice locations: Elizabethtown, NC |
National Provider Directory
- Tax ID family
- Adoration Home Health Care Virginia LLC
Locations
107 N Gillespie St
Elizabethtown, NC 28337
Phone (910) 862-6901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NC | Yes |
Addresses
Primary practice location
107 N Gillespie St
Elizabethtown, NC 28337-9590
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 630-7425
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC0481 | Other | NC | NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES |
Other names
- Adoration Home Health
Other providers in Elizabethtown, NC
- A Primary Choice, Inc.
- Above & Beyond Wellness - Bladen
- Above & Beyond Wellness and Medspa, PLLC
- Access NC, LLC
- Charles Davis Allen Jr.
- Stephanie B Alper
- Americare of North Carolina
- Andersons Drug Store LLC
- Richmond K Asante
All providers in Elizabethtown, NC · Home Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.