NPIMap

Organization Active NPI

James River Home Health Care, LLC

  • Community Based Hospice Care Agency
  • Fredericksburg, VA
National Provider Identifier
1760148712
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JAMES RIVER HOME HEALTH CARE, LLC
Practice address
4318 Carr Dr
Fredericksburg, VA 22408-2688
Phone
(540) 898-5209
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Tricia Rowsey
Title
Crmo
Phone
(804) 272-3300

Specialties & licenses 1

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

Addresses

Primary practice location

4318 Carr Dr
Fredericksburg, VA 22408-2688

Mailing address

9100 Arboretum Pkwy Ste 290
North Chesterfield, VA 23236-3494
Phone (804) 272-3300

Other names 1

  • James River Home Health and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429000890 VA Part A Provider - Hospice 6002041779 Practice locations: Fredericksburg, VA

Hospice certification: CCN 491654

Legal name
JAMES RIVER HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 29, 2022
Last certification
Sep 29, 2022
Organization structure
LLCProprietary
Incorporated
May 21, 2013 in VA
Enrollment address
4318 Carr Dr
Fredericksburg, VA 22408-2688

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospice

Medicare Care Compare
Listed as
James River Home Health Care LLC (Fredericksburg)CCN 491654
Certified
Sep 29, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
James River Home Health Care LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
James River Intermediate Holdings, LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 23, 2020 100%
Shane M Maley Individual Corporate OfficerChief Executive Officer May 21, 2013 100%
Corporate DirectorBoard Member May 21, 2013 100%
Operational/Managerial ControlChief Executive Officer Oct 15, 2021 100%
Torino Jennings Individual W-2 Managing EmployeeMedical Director Jan 31, 2024 100%
Stephanie Willis Individual W-2 Managing EmployeeCoo Dec 1, 2021 100%
Operational/Managerial ControlCoo Dec 1, 2021 100%
James River Buyer, Inc Organization, Chicago, IL Created for acquisition, Corporation 5% Or Greater Indirect Ownership Interest Jun 7, 2024 100%
Tricia W. Rowsey Individual W-2 Managing EmployeeCrmo Oct 15, 2021 100%
Operational/Managerial ControlCrmo Oct 15, 2021 100%
James River Holdco, LLC Organization, Chicago, IL Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jun 7, 2024 100%
Megan Lloyd Individual W-2 Managing EmployeeAdministrator Jan 31, 2024 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1760148712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ARBORETUM PKWY STE 290",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363494",
            "telephone_number": "804-272-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 CARR DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082688",
            "telephone_number": "540-898-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ROWSEY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CRMO",
        "authorized_official_telephone_number": "804-272-3300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James River Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.