Organization Active NPI

Augusta Health Care, Inc

Doing business as Hospice of the Shenandoah

  • Community Based Hospice Care Agency
  • Fishersville, VA
National Provider Identifier
1700851920
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AUGUSTA HEALTH CARE, INC
Doing business as
Hospice of the Shenandoah
Practice address
64 Sports Medicine Dr
Fishersville, VA 22939
Phone
(540) 932-4943
Fax
(540) 932-4616
NPI assigned
Feb 21, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
William J Meador
Title
VP, Cfo
Phone
(540) 932-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

64 Sports Medicine Dr
Fishersville, VA 22939

Mailing address

PO Box 215
Fishersville, VA 22939-0215
Phone (540) 932-4943

Other names 1

  • Hospice of the Shenandoah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170421000888 VA Part A Provider - Hospice 1355248212 Practice locations: Fishersville, VA; Fisherville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700851920. Details of each certification follow.

Hospice certification: CCN 491547

Legal name
AUGUSTA HEALTH CARE INC
Doing business as
HOSPICE OF THE SHENANDOAH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 7, 1997
Last certification
Jul 12, 2012
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1988 in VA
Enrollment address
64 Sports Medicine Dr.
Fishersville, VA 22939

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the ShenandoahCCN 491547 · All quality measures
Ownership
Non-Profit
Certified
Mar 7, 1997
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Augusta Medical Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & 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.

NameRoleSinceShare
Christopher C Heck Individual Corporate DirectorMedical Director Jul 5, 2022
Scott Crabtree Individual Corporate Officer Aug 16, 2010
W-2 Managing Employee Aug 16, 2010
William J Meador Individual Corporate Officer May 22, 2023
W-2 Managing Employee May 22, 2023
Mary Mannix Individual Corporate Officer Mar 18, 2008
W-2 Managing Employee Mar 18, 2008
Apollo Townsend Stevens Individual Corporate Director Sep 22, 2025
W-2 Managing Employee Sep 22, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Augusta Health Care IncFishersville, VA, CCN 495214 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)
Jul 16, 1990
Jul 16, 1990
Karolwood Gardens RichmondHenrico, VA, CCN 495428 Skilled nursing facility Adp of the SNF Jun 1, 2021
Augusta Health Maury River Family PracticeGlasgow, VA, CCN 498934 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008
Augusta Health Primary Care LexingtonLexington, VA, CCN 498935 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1700851920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390215",
            "telephone_number": "540-932-4943",
            "fax_number": "540-932-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SPORTS MEDICINE DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-932-4943",
            "fax_number": "540-932-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "540-932-4800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of the Shenandoah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice of the Shenandoah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.