Organization Active NPI

Home Recovery Home Health LLC

Doing business as Home Recovery - Homeaid

  • Home Health Agency
  • Farmville, VA
National Provider Identifier
1811933328
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA Issued in NU
Legal business name
HOME RECOVERY HOME HEALTH LLC
Doing business as
Home Recovery - Homeaid
Practice address
816 E 3Rd St
Farmville, VA 23901-1608
Phone
(434) 392-7336
Fax
(434) 392-1970
NPI assigned
Jun 22, 2006
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HOME RECOVERY--HOMEAID LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mr. William M Weimer
Title
Controller
Phone
(434) 315-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NA NU Primary

Addresses

Primary practice location

816 E 3Rd St
Farmville, VA 23901-1608

Mailing address

816 E 3Rd St
Farmville, VA 23901-1608
Phone (434) 392-7336

Other identifiers 2

IdentifierTypeStateIssuer
004977700MedicaidVA
497030BOtherVAMEDICARE PROVIDER NUMBER

Other names 2

  • HOME RECOVERY - HOMEAID Doing business as
  • PAB INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090102000046 VA Part A Provider - Home Health Agency 6608938402 Practice locations: Lynchburg, VA; Lawrenceville, VA; Chatham, VA; Blackstone, VA; Farmville, VA; Appomattox, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811933328. Details of each certification follow.

Home health agency certification: CCN 497030B

Legal name
HOME RECOVERY HOME HEALTH LLC
Organization structure
LLCProprietary
Incorporated
Jul 18, 1989 in VA
Enrollment address
816 E 3Rd St
Ste a
Farmville, VA 23901-1608

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
49D0895416Home Recovery Home Health Inc816 East Third Street, Ste a, Farmville, VA 23901Certificate of waiverDec 7, 2026
49D2078340Home Recovery Home Health, Inc816 East Third Street, Farmville, VA 23901Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Part of
Home Recovery-Homeaid LLC

Locations

2142 Church St
Appomattox, VA 24522
Phone (434) 352-2710

497 Court St
Appomattox, VA 24522
Phone (434) 352-2710

1029 Turnpike Rd
Ste H
Bedford, VA 24523
Phone (540) 587-8600

205 South St
Bedford, VA 24523
Phone (214) 407-5359

514 Blue Ridge Ave
Ste D
Bedford, VA 24523
Phone (540) 587-8600

930C S Main St
Blackstone, VA 23824
Phone (434) 292-4268

2781 West Bottom Rd
Ste A
Bremo Bluff, VA 23022
Phone (434) 842-3010

816 E 3rd St
Ste A
Farmville, VA 23901
Phone (434) 392-7336

129 W Hicks St
Lawrenceville, VA 23868
Phone (434) 848-4601

5050 Fort Ave
#B
Lynchburg, VA 24502
Phone (434) 845-4333

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Kristi N Chittum Individual W-2 Managing EmployeeAdministrator Jan 10, 2018
Carering Health LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2023 100%
Madison Dearborn Capital Partners VIII-B, L.P. Organization, Chicago, IL LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 2, 2023 46.4%
PHC Investments II LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2023 100%
MDCP VII-C PHC Splitter LP Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2023 24.09%
Dina Ibragimova 2020 Irrevocable Trust Organization, Panama City Beach, FL 5% Or Greater Indirect Ownership Interest Nov 2, 2023 6.95%
PHC Investments I LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 2, 2023 100%
Mark Quinnan Individual Corporate OfficerChief Financial Officer Nov 2, 2023
Marietta Willis Individual Corporate OfficerChief Officer Nov 2, 2023
Vladimir Matkivski 2020 Irrevocable Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Nov 2, 2023 6.95%
Home Recovery - Home Aid LLC Organization, Farmville, VA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 21, 2008 100%
Cletus S Guenthner Individual Corporate OfficerChief Executive Officer Nov 2, 2023

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1811933328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011608",
            "telephone_number": "434-392-7336",
            "fax_number": "434-392-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011608",
            "telephone_number": "434-392-7336",
            "fax_number": "434-392-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME RECOVERY HOME HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME RECOVERY--HOMEAID LLC",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "434-315-5222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004977700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "497030B",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME RECOVERY - HOMEAID",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAB INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.