NPIMap

Organization Active NPI

Sentara Enterprises

  • Home Health Agency
  • Dumfries, VA
National Provider Identifier
1831414192
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENTARA ENTERPRISES
Practice address
3800 Fettler Park Dr Ste 102
Dumfries, VA 22025-2045
Phone
(571) 285-1820
Fax
(571) 659-0697
NPI assigned
Mar 30, 2010
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Teresa Edwards
Title
President
Phone
(757) 553-3000

Specialties & licenses 1

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

Addresses

Primary practice location

3800 Fettler Park Dr Ste 102
Dumfries, VA 22025-2045

Mailing address

535 Independence Pkwy
Suite 200
Chesapeake, VA 23320-5176
Phone (757) 553-3000

Other identifiers 1

IdentifierTypeStateIssuer
1831414192MedicaidVA

Other names 1

  • Sentara Home Care Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000531 VA Part A Provider - Home Health Agency 6608770151 Practice locations: Dumfries, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831414192. Details of each certification follow.

Home health agency certification: CCN 497675

Legal name
SENTARA ENTERPRISES
Doing business as
SENTARA HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 25, 2011
Last certification
Jun 6, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in VA
Enrollment address
3800 Fettler Park Dr
Ste 102
Dumfries, VA 22025-2043

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sentara Home Care ServicesCCN 497675 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Aug 25, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Sentara Enterprises19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

3985 Prince William Pkwy
Ste 204
Woodbridge, VA 22192

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Melinda Hancock Individual Corporate OfficerTreasurer Dec 30, 2024
Corporate DirectorBod - Evp & Cfo Dec 30, 2024
Dennis Matheis Individual Corporate DirectorCeo Sep 1, 2022
Eric Conley Individual Corporate OfficerChair Aug 27, 2024
Corporate DirectorBod -VP& Pres of Acute/Post Acute Aug 27, 2024
Earl Barnes Individual Corporate OfficerSecretary Jun 6, 2022
Katrina M Melton Individual Corporate OfficerPresident Dec 30, 2024
Corporate DirectorBod - VP Post Acute& Pall Care Dec 30, 2024
Ramona Lovelle Patterson Individual W-2 Managing EmployeeAd; Sep 8, 2025
Sunil Patel Individual Corporate DirectorGoverning Body Member Dec 30, 2024
David Lee Parks Individual Corporate DirectorGoverning Body Member Jun 1, 2025
W-2 Managing Employee Jun 1, 2025
Nicole Hayden Individual W-2 Managing EmployeeInterim Director of HHA Jan 2, 2026
Sentara Health Organization, Norfolk, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 20, 2010 100%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1831414192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000",
            "fax_number": "757-382-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FETTLER PARK DR STE 102",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220252045",
            "telephone_number": "571-285-1820",
            "fax_number": "571-659-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-553-3000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831414192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Home Care Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sentara Home Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.