Active NPI
Home Recovery Home Health LLC
Doing business as Home Recovery - Homeaid
- Home Health Agency
- Farmville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NA
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- HOME RECOVERY--HOMEAID LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004977700 | Medicaid | VA | |
| 497030B | Other | VA | MEDICARE PROVIDER NUMBER |
Other names 2
- HOME RECOVERY - HOMEAID
- PAB INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jul 18, 1989 in VA
- Enrollment address
- 816 E 3Rd St
Ste a
Farmville, VA 23901-1608
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0895416 | Home Recovery Home Health Inc | Certificate of waiver | Dec 7, 2026 |
| 49D2078340 | Home Recovery Home Health, Inc | Certificate of waiver | May 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kristi N Chittum | W-2 Managing Employee | Jan 10, 2018 | |
| Carering Health LLC | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 100% |
| Madison Dearborn Capital Partners VIII-B, L.P. | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 46.4% |
| PHC Investments II LLC | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 100% |
| MDCP VII-C PHC Splitter LP | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 24.09% |
| Dina Ibragimova 2020 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 6.95% |
| PHC Investments I LLC | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 100% |
| Mark Quinnan | Corporate Officer | Nov 2, 2023 | |
| Marietta Willis | Corporate Officer | Nov 2, 2023 | |
| Vladimir Matkivski 2020 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 2, 2023 | 6.95% |
| Home Recovery - Home Aid LLC | 5% Or Greater Direct Ownership Interest | Oct 21, 2008 | 100% |
| Cletus S Guenthner | Corporate Officer | Nov 2, 2023 |
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Americare In Home Nursing
- Home Health Agency
- Alexandria, VA
- NPI 1598706483
Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Home Recovery - Home Aid LLC, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocabl
-
dba Patriot Home Care
- Home Health Agency
- Wilmington, DE
- NPI 1124598156
Carering Health LLC, PHC Investments I LLC, PHC Investments II LLC
-
- Home Health Agency
- Youngstown, OH
- NPI 1013316496
Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust
-
- Home Health Agency
- Philadelphia, PA
- NPI 1124029467
Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust
-
dba Immediate Homecare and Hospice
- Community Based Hospice Care Agency
- Philadelphia, PA
- NPI 1912158932
Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust
-
dba Americare in Home Nursing
- Home Health Agency
- Washington, DC
- NPI 1245410943
Carering Health LLC, Dina Ibragimova 2020 Irrevocable Trust, Home Recovery - Home Aid LLC, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocabl
-
dba Americare In Home Nursing
- Home Health Agency
- Landover, MD
- NPI 1679515902
Dina Ibragimova 2020 Irrevocable Trust, Home Recovery - Home Aid LLC, Madison Dearborn Capital Partners VIII-B, L.P., MDCP VII-C PHC Splitter LP, PHC Investments I LLC, PHC Investments II LLC, Vladimir Matkivski 2020 Irrevocable Trust
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.
-
- Physical Therapist
- Northbrook, IL
- NPI 1073786109
-
- Psychiatric/Mental Health Nurse Practitioner
- Bedford, VA
- NPI 1548580186
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
- Holly Manor Alf Il Operations LLC
- Holly Manor SNF Operations LLC
- Holly Manor SNF Operations LLC (Holly Manor Rehab and Nursing)
- Lindsay Holman
- Melissa Kathryn Holmes, CRNA
- Home Recovery of Virginia, LLC (Home Recovery - Homeaid)
- Homeaid, LLC (Home Recovery - Homeaid)
- Hope Clinic of Farmville
- Linda Cosby Horner
- Jennifer Horning, M.ED., ED.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.