Organization Active NPI

Southeastern Home Health Care, LLC

Doing business as AccentCare Home Health of Virginia

  • Home Health Agency
  • Mechanicsville, VA
National Provider Identifier
1831136472
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
497508A Issued in VA
Legal business name
SOUTHEASTERN HOME HEALTH CARE, LLC
Doing business as
AccentCare Home Health of Virginia
Practice address
7502 Lee Davis Rd
Mechanicsville, VA 23111-3603
Phone
(804) 769-1380
Fax
(804) 769-1377
NPI assigned
Jun 1, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Heather Siscel
Title
VP, Deputy General Counsel
Phone
(224) 221-0465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 497508A VA Primary

Addresses

Primary practice location

7502 Lee Davis Rd
Mechanicsville, VA 23111-3603

Mailing address

1501 Grundy LN
Suite 100
Bristol, PA 19007-1506
Phone (215) 826-0900

Other identifiers 5

IdentifierTypeStateIssuer
010252385MedicaidVA
010147689MedicaidVA
010147603MedicaidVA
010140927MedicaidVA
010147646MedicaidVA

Other names 1

  • AccentCare Home Health of Virginia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050310000041 VA Part A Provider - Home Health Agency 4082668223 Practice locations: Mechanicsville, VA
O20210211002538 VA Part B Supplier - Home Infusion Therapy Supplier 4082668223 Practice locations: Mechanicsville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831136472. Details of each certification follow.

Home health agency certification: CCN 497508A

Legal name
SOUTHEASTERN HOME HEALTH CARE, LLC
Doing business as
ACCENTCARE HOME HEALTH OF VIRGINIA
Organization structure
LLCProprietary
Enrollment address
7502 Lee Davis Rd
Mechanicsville, VA 23111-3603

Care Compare: Home health agency

Medicare Care Compare
Listed as
Accentcare Home Health of VirginiaCCN 497508
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 23, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
49D0910530Southeastern Home Health Care, LLC7502 Lee Davis Road, Mechanicsville, VA 23111Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

112 Commerce Park Dr
Ste A
Manquin, VA 23106
Phone (804) 769-1380

7502 Lee Davis Rd
Mechanicsville, VA 23111
Phone (804) 769-1380

2405 Fort Eustis Blvd
Apt 238
Yorktown, VA 23692
Phone (757) 234-6650

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
April Keister Individual W-2 Managing EmployeeAd; Dec 23, 2024
Advent International Gpe VIII-B, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 15.1%
Horizon Acquisition Co Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%
Advent International Gpe VIII-H, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 5.5%
Horizon Group Holdings Intermediate 2, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%
Seasons Rollover Holdings LLC Organization, Lincolnwood, IL LLC 5% Or Greater Indirect Ownership Interest Jun 15, 2021 15.4%
Horizon Group Holdings Intermediate 1, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%
Advent International Gpe VIII-I, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 5.1%
Horizon Group Holdings, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%
John Guess Individual Corporate OfficerTreasurer Dec 14, 2023
Southeastern Intermediate Holding LLC Organization, Bristol, PA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Advent International Gpe VIII-J LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 5%
Advent International Gpe VIII-B-1, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 5.4%
Advent International Gpe VIII-B-3, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 6.3%
Heather Siscel Individual Corporate OfficerAssistant Secretary Jun 15, 2021
Advent International Gpe VIII-a LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Jun 15, 2021 11.2%
Angela Steventon Individual Corporate OfficerPresident Aug 16, 2022
Accentcare, Inc. Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%
Dena Schwartz-Doty Individual Corporate OfficerVice President Jun 15, 2021
Pluto Acquisition I Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 2021 100%

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1831136472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 GRUNDY LN",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071506",
            "telephone_number": "215-826-0900",
            "fax_number": "215-826-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113603",
            "telephone_number": "804-769-1380",
            "fax_number": "804-769-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "SISCEL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP,  DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "224-221-0465"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "497508A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010252385",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010147689",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010147603",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140927",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010147646",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Home Health of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.