Organization Active NPI

Adoration Home Health Care Virginia LLC

Doing business as Adoration Home Health

  • Home Health Agency
  • Rock Hill, SC
National Provider Identifier
1760928113
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADORATION HOME HEALTH CARE VIRGINIA LLC
Doing business as
Adoration Home Health
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
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Margaret S Pemberton
Title
Vice President
Phone
(502) 272-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 1

  • Adoration Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612002168 SC Part A Provider - Home Health Agency 4082043138 Practice locations: Rock Hill, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760928113. Details of each certification follow.

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
LLCProprietary
Incorporated
Jul 31, 2018 in DE
Enrollment address
448 Lakeshore Pkwy
Ste 215
Rock Hill, SC 29730-4264

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home HealthCCN 427141 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 14, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology

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
42D2345739Adoration Home Health Care Virginia, LLC448 Lakeshore Parkway, Suite 215, Rock Hill, SC 29730Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Adoration Home Health Care Virginia 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

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2424 India Hook Rd
Ste 130
Rock Hill, SC 29732
Phone (803) 285-2026

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jennifer Phipps Individual Corporate Officer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 29%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Allison Brown Individual Corporate OfficerSecretary May 15, 2022
Margaret Sherry Pemberton Individual Corporate OfficerManager / Vice President Mar 1, 2020
Corporate DirectorDirector Mar 1, 2020
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Elizabeth Robinson Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 68%
Angela Hall Individual W-2 Managing EmployeeAd; Sep 30, 2024
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 60%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adoration Home HealthAnnandale, VA, CCN 497638 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 20, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 151

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

View all 151

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1760928113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-630-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LAKESHORE PKWY STE 215",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304264",
            "telephone_number": "803-567-5970",
            "fax_number": "877-242-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORATION HOME HEALTH CARE VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-272-3466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.