Southeastern Home Health Care, LLC
Organization Active NPI Home Health Agency · Mechanicsville, VA
NPI 1831136472 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1831136472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 497508A (VA)
- Legal business name
- SOUTHEASTERN HOME HEALTH CARE, LLC
- Practice address
- 7502 Lee Davis Rd
Mechanicsville, VA 23111-3603 - Phone
- (804) 769-1380
- Fax
- (804) 769-1377
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP, Deputy General Counsel
- Phone
- (224) 221-0465
Facilities with the same owner 114
Affiliated clinicians 23
-
Darli Min Aung, MSN, NP-C, CRRN
-
Ann M Baker, MD
-
Laura L Burijon, M.D.
-
Sonya C. Faircloth, D.P.M.
-
Shawn Daniel Feinstein, M.D.
-
Brian J Foster, MD
-
Barton Harris, MD
-
Jean-Pierre Hoyle, FNP
-
Matthew Lawrence Jones, M.D.
-
Julia A Karlsson, MD
-
George B Newton, MD
-
Abilio A. Reis, M.D.
-
Robert M Rose, M.D.
-
Kevin J Sahli, M.D.
-
Rachel E. J Shields, PA-C
-
Amanda Shull, NP
-
Richard Singleton, MD, PHD
-
Wells Stewart III, M.D.
-
Gregory W Tanner, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Accentcare Home Health of Virginia
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Jan 23, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0910530 | Southeastern Home Health Care, LLC | Certificate of waiver | Jan 10, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Home health agency certification: CCN 497508A
- Legal name
- SOUTHEASTERN HOME HEALTH CARE, LLC
- Doing business as
- ACCENTCARE HOME HEALTH OF VIRGINIA
- Organization structure
- LLC · Proprietary
- Enrollment address
- 7502 Lee Davis Rd
Mechanicsville, VA 23111-3603
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| April Keister |
W-2 Managing Employee |
Dec 23, 2024 | |
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 15.1% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 5.5% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 15.4% |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 5.1% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
| John Guess |
Corporate Officer |
Dec 14, 2023 | |
| Southeastern Intermediate Holding LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 100% |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 5% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 5.4% |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 6.3% |
| Heather Siscel |
Corporate Officer |
Jun 15, 2021 | |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 11.2% |
| Angela Steventon |
Corporate Officer |
Aug 16, 2022 | |
| Accentcare, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
| Dena Schwartz-Doty |
Corporate Officer |
Jun 15, 2021 | |
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Jun 15, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
112 Commerce Park Dr
Ste A
Manquin, VA 23106
Phone (804) 769-1380
2405 Fort Eustis Blvd
Apt 238
Yorktown, VA 23692
Phone (757) 234-6650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 497508A | VA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010147603 | Medicaid | VA | |
| 010252385 | Medicaid | VA | |
| 010147646 | Medicaid | VA | |
| 010140927 | Medicaid | VA | |
| 010147689 | Medicaid | VA |
Other names
- AccentCare Home Health of Virginia
Other providers in Mechanicsville, VA
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- Danielle Somoza
- Shawne E. Soper
- Andrea Sorlie
- Rachel O. Southard
- Southern Change Behavioral Health Services, LLC
- Sovereignty Community Care
- Shaun Andrew Spadafora
- Bryanna Eva Spalla
- Courtney Leigh Spates
All providers in Mechanicsville, VA · Home Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.