NPIMap

Organization Active NPI

Enlight Hospice of VA, LLC

  • Community Based Hospice Care Agency
  • North Chesterfield, VA
National Provider Identifier
1790475598
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENLIGHT HOSPICE OF VA, LLC
Practice address
1915 Huguenot Rd Ste 102a
North Chesterfield, VA 23235-4315
Phone
(804) 471-4588
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Mr. Jerome Vargas Del Rosario
Title
Administrator
Phone
(804) 471-4588

Specialties & licenses 1

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

Addresses

Primary practice location

1915 Huguenot Rd Ste 102a
North Chesterfield, VA 23235-4315

Mailing address

1915 Huguenot Rd Ste 102a
North Chesterfield, VA 23235-4315
Phone (804) 471-4588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110002574 VA Part A Provider - Hospice 1557718657 Practice locations: Richmond, VA

Hospice certification: CCN 491661

Legal name
ENLIGHT HOSPICE OF VA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 3, 2024
Last certification
May 21, 2024
Organization structure
LLCProprietary
Incorporated
Oct 5, 2022 in VA
Enrollment address
1915 Huguenot Rd
Suite 102a
Richmond, VA 23235

Care Compare: Hospice

Medicare Care Compare
Listed as
Enlight Hospice of VACCN 491661
Certified
Jun 3, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1915 Huguenot Rd
Ste 102A
North Chesterfield, VA 23235
Phone (434) 264-1233

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Mark Michael Araneta Individual 5% Or Greater Direct Ownership InterestGeneral Partner Oct 3, 2023 15%
5% Or Greater Indirect Ownership Interest Oct 3, 2023 29%
Ed Jerome V del Rosario Individual 5% Or Greater Direct Ownership InterestAdministrator Nov 28, 2022 10%
Operational/Managerial ControlDirector of Operations Nov 28, 2022 10%
Keziah Mariae M del Rosario Individual 5% Or Greater Direct Ownership Interest Nov 28, 2022 10%
Operational/Managerial ControlDirector of Business Development Nov 28, 2022 10%
Ericson Agasang Demoy Individual 5% Or Greater Direct Ownership Interest Nov 28, 2022 7%
Operational/Managerial ControlDirector of Clinical Services Nov 28, 2022 7%
Care Affair, LLC Organization, Richmond, VA LLC 5% Or Greater Direct Ownership Interest Nov 28, 2022 58%
Crissel Anne Araneta Individual 5% Or Greater Indirect Ownership Interest Oct 3, 2023 29%

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": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1790475598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HUGUENOT RD STE 102A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354315",
            "telephone_number": "804-471-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HUGUENOT RD STE 102A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354315",
            "telephone_number": "804-471-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHT HOSPICE OF VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "VARGAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-471-4588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.