Organization Active NPI

Hospice of Central Virginia, LLC

  • Community Based Hospice Care Agency
  • Richmond, VA
National Provider Identifier
1740239797
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-0691 Issued in VA
Legal business name
HOSPICE OF CENTRAL VIRGINIA, LLC
Practice address
1700 Bayberry CT
Suite 300
Richmond, VA 23226-3791
Phone
(804) 281-0451
Fax
(804) 281-0954
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Mr. Rich Fogle
Title
Cfo
Phone
(904) 493-6745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP-0691 VA Primary

Addresses

Primary practice location

1700 Bayberry CT
Suite 300
Richmond, VA 23226-3791

Mailing address

50 N. Laura St.
Suite 1800
Jacksonville, FL 32202-3614
Phone (904) 493-6745

Other identifiers 1

IdentifierTypeStateIssuer
004910273MedicaidVA

Other names 1

  • Hospice of Virginia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2621 Grove Ave
Fl 5
Richmond, VA 23220
Phone (804) 200-1810

1700 Bayberry Ct
Ste 300
Richmond, VA 23226
Phone (804) 281-0451

2235 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 220-8842

7231 Forest Ave
Ste 100
Richmond, VA 23226
Phone (804) 281-0451

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 11, 2016 Change of OwnershipThis provider was the seller Hospice of VirginiaCCN 491537, VA, NPI 1851747661

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1740239797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N. LAURA ST.",
            "address_2": "SUITE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023614",
            "telephone_number": "904-493-6745",
            "fax_number": "904-262-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAYBERRY CT",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263791",
            "telephone_number": "804-281-0451",
            "fax_number": "804-281-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CENTRAL VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-493-6745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP-0691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004910273",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.