NPIMap

Organization Active NPI

Sentara Enterprises

  • Home Health Agency
  • Williamsburg, VA
National Provider Identifier
1750829164
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-171575 Issued in VA
Legal business name
SENTARA ENTERPRISES
Practice address
5360 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-2860
Phone
(757) 984-1350
Fax
(757) 837-4711
NPI assigned
Feb 6, 2017
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Teresa L Edwards
Title
President
Phone
(757) 553-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-171575 VA Primary

Addresses

Primary practice location

5360 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-2860

Mailing address

535 Independence Pkwy
Suite 200
Chesapeake, VA 23320-5176
Phone (757) 553-3000

Other names 1

  • Sentara Home Care Services - Williamsburg Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170405002400 VA Part A Provider - Home Health Agency 6608770151 Practice locations: Williamsburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750829164. Details of each certification follow.

Home health agency certification: CCN 497748

Legal name
SENTARA ENTERPRISES
Doing business as
SENTARA HOME CARE SERVICES-WILLIAMSBURG
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 25, 2017
Last certification
Jul 25, 2017
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in VA
Enrollment address
5372 Discovery Park Blvd
Ste 201
Williamsburg, VA 23188-6437

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sentara Home Care Services-WilliamsburgCCN 497748 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 25, 2017
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
49D2132831Sentara Home Care Services - Williamsburg5372 Discovery Park Boulevard - Suite 201, Williamsburg, VA 23188Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sentara Enterprises Amb19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Melinda Hancock Individual Corporate OfficerTreasurer Dec 30, 2024
Corporate DirectorBod - Evp & Cfo Dec 30, 2024
Dennis Matheis Individual Corporate OfficerCeo Sep 1, 2022
Eric Conley Individual Corporate OfficerChair Aug 27, 2024
Corporate DirectorBod-Evp-Acute-Post Acute Aug 27, 2024
Earl Barnes Individual Corporate OfficerSecretary Jun 6, 2022
Katrina M Melton Individual Corporate OfficerPresident Dec 30, 2024
Corporate DirectorBod-Gov Body Member-VP Post Acute Dec 30, 2024
Mary K Hansen Individual W-2 Managing EmployeeAdministrator Aug 1, 2017
Sunil Patel Individual Corporate DirectorGoverning Body Member Dec 30, 2024
David Lee Parks Individual Corporate DirectorGoverning Body Member Jun 1, 2025
W-2 Managing Employee Jun 1, 2025
Nicole Hayden Individual W-2 Managing EmployeeInterim Director of HHA Jan 2, 2026
Sentara Health Organization, Norfolk, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 17, 1998 100%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1750829164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000",
            "fax_number": "757-382-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 DISCOVERY PARK BLVD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882860",
            "telephone_number": "757-984-1350",
            "fax_number": "757-837-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-553-3000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Home Care Services - Williamsburg",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sentara Home Care Services - Williamsburg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.