Adoration Home Health Care Virginia LLC
Organization Active NPI Home Health Agency · Rock Hill, SC
NPI 1760928113 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1760928113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADORATION HOME HEALTH CARE VIRGINIA LLC
- Practice address
- 448 Lakeshore Pkwy Ste 215
Rock Hill, SC 29730-4264 - Phone
- (803) 567-5970
- Fax
- (877) 242-3291
- NPI assigned
- Jan 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Margaret S Pemberton
- Title
- Vice President
- Phone
- (502) 272-3466
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 17
Corporate family (same tax ID) 13
Member of 4
Facilities with the same owner 151
Affiliated clinicians 25
-
Alfred Thomas Ezman, D.O.
-
Dana Patete Giarrizzi, D.O.
-
Aida Jacic, MD
-
Kristine McGruder, M.D.
-
Beni Mfitidi, MD
-
Alysia Nicole Moore, APRN
-
Myo M Nwe, MD
-
Brian Owen Pope, MD
-
Inna Slisz, DO
-
Karl Weber, MD
-
Adediji Osinloye, M.D.
-
T Hemanth Rao, M.D.
-
Lagenia K Wright, ARNP
Medicare Care Compare: Home health agency
- Listed as
- Adoration Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Sep 14, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2345739 | Adoration Home Health Care Virginia, LLC | Certificate of waiver | Jun 16, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Home health agency certification: CCN 427141
- Legal name
- ADORATION HOME HEALTH CARE VIRGINIA, LLC
- Doing business as
- ADORATION HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 14, 2020
- Last certification
- Sep 14, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 31, 2018 in DE
- Enrollment address
- 448 Lakeshore Pkwy
Ste 215
Rock Hill, SC 29730-4264
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Phipps |
Corporate Officer | Jul 22, 2022 | |
| Walgreen Co |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 29% |
| Adoration Home Health & Hospice Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Allison Brown |
Corporate Officer |
May 15, 2022 | |
| Margaret Sherry Pemberton |
Corporate Officer |
Mar 1, 2020 | |
| Corporate Director |
Mar 1, 2020 | ||
| Brightspring Health Holdings Corp |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Phoenix Guarantor Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Res-Care Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Phoenix Intermediate Holdings Inc. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| Elizabeth Robinson |
Corporate Officer | Aug 1, 2024 | |
| Corporate Director | Aug 1, 2024 | ||
| Walgreens Holding Company |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 29% |
| Brightspring Health Services Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
| KKR Phoenix Aggregator L.P. |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 68% |
| Angela Hall |
W-2 Managing Employee |
Sep 30, 2024 | |
| KKR Americas Fund XII LP |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 60% |
| Adoration Home Health Care LLC |
5% Or Greater Direct Ownership Interest | Mar 1, 2020 | 100% |
| Rescare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2020 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Adoration Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 20, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200612002168 | SC | Part a Provider - Home Health Agency | 4082043138 | Practice locations: Rock Hill, SC |
National Provider Directory
- Tax ID family
- Adoration Home Health Care Virginia LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
448 Lakeshore Pkwy Ste 215
Rock Hill, SC 29730-4264
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (502) 630-7425
Other names
- Adoration Home Health
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All providers in Rock Hill, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. 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.