Commonwealth Healthcare, LLC
Organization Active NPI Community Based Hospice Care Agency · Charlottesville, VA
NPI 1740430263 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1740430263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- COMMONWEALTH HEALTHCARE, LLC
- Practice address
- 500 Faulconer Dr Ste 100
Charlottesville, VA 22903-4972 - Phone
- (434) 970-7776
- Fax
- (434) 970-7773
- NPI assigned
- Sep 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Owners & managing parties with NPI records 1
-
John Francis McCue, D.O.
Facilities with the same owner 38
Affiliated clinicians 24
-
Patrick E Baroco Jr., M.D.
-
Michon Bechamps, MD
-
Crystal K Blosser, NP-C
-
Erica Green Carter, M.D.
-
David Lawrence Chesler, M.D.
-
Elaine M Dunnivan, FNP
-
Mohammad Farooq, MD
-
Danny W Felty, MD
-
Adam Wali Hamidi, D.O.
-
Keith C Long, M.D
-
David A Neff, MD
-
Crystal O'Connor, FNP-C
-
Nicole A Padmore, MD
-
Meredith Shelton, MD
-
Jennie Webb-Wright, M.D.
-
Sheron Tomeeka Wyatt, M.D.
Medicare Care Compare: Hospice
- Listed as
- Legacy Hospice
- Ownership
- Other
- Certified
- May 12, 2009
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospice certification: CCN 491593
- Legal name
- COMMONWEALTH HEALTHCARE, LLC
- Doing business as
- LEGACY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 12, 2009
- Last certification
- Feb 22, 2018
- Ownership / control type
- Other
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 19, 2008 in DE
- Enrollment address
- 500 Faulconer Dr
Ste 100
Charlottesville, VA 22903-4972
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| THL Equity Fund VIII Investors (Hospice Care), L.P. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 29.16% |
| Jesse Reo Moore |
Corporate Officer |
May 26, 2021 | |
| W-2 Managing Employee |
May 26, 2021 | ||
| Care Hospice, Inc. |
5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 100% |
| Alyssa Matthews |
W-2 Managing Employee |
Nov 27, 2018 | |
| Thomas H. Lee Equity Fund VIII, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 15.07% |
| Thomas H. Lee Parallel Fund VIII, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 27.44% |
| Care Hospice Acquisition, Inc. |
5% Or Greater Indirect Ownership Interest | Apr 13, 2017 | 100% |
| John F McCue |
Contracted Managing Employee |
May 27, 2022 | |
| Hospice Care Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Hospice Care Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Bart K Valdez |
Corporate Officer |
Jan 6, 2025 | |
| W-2 Managing Employee |
Jan 6, 2025 | ||
| Hospice Care Intermediate I, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Grant Brown |
Corporate Officer |
Apr 13, 2017 | |
| W-2 Managing Employee |
Apr 13, 2017 | ||
| John B Hunter |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 9.42% |
| Hospice Care Intermediate II, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Dana K Reid |
Corporate Officer |
Jan 4, 2025 | |
| W-2 Managing Employee |
Jan 4, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081006000704 | VA | Part a Provider - Hospice | 9537237391 | Practice locations: Winchester, VA; Roanoke, VA; Richmond, VA; Norfolk, VA; Harrisonburg, VA; Fredericksburg, VA; Fishersville, VA; Charlottesville, VA… |
National Provider Directory
Locations
43490 Yukon Dr
Ste 102
Ashburn, VA 20147
Phone (571) 479-4040
675 Peter Jefferson Pkwy
Ste 180
Charlottesville, VA 22911
500 Faulconer Dr
Ste 100
Charlottesville, VA 22903
Phone (434) 290-3724
650 Peter Jefferson Pkwy
Ste 310
Charlottesville, VA 22911
Phone (434) 970-7776
14 Old Oaks Dr
#101
Fishersville, VA 22939
Phone (540) 943-1773
1842 Jefferson Hwy
Fishersville, VA 22939
Phone (540) 943-1773
150 Riverside Pkwy
Ste 111
Fredericksburg, VA 22406
Phone (540) 229-8440
2322 Blue Stone Hills Dr
Ste 220
Harrisonburg, VA 22801
Phone (540) 217-0424
11848 Rock Landing Dr
Ste 202
Newport News, VA 23606
Phone (757) 240-5775
1312 Plantation Rd NE
Roanoke, VA 24012
Phone (540) 566-3773
600 Pegasus Ct
Ste 100A
Winchester, VA 22602
Phone (540) 546-0620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
500 Faulconer Dr Ste 100
Charlottesville, VA 22903-4972
Mailing address
500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740430263 | Medicaid | VA |
Other names
- Legacy Hospice
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network Inc. |
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All providers in Charlottesville, VA · Community Based Hospice Care Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. 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.