NPIMap

Organization Active NPI

Msa Home Health and Hospice of NC Inc

Doing business as Medi Home Hospice

  • Community Based Hospice Care Agency
  • Saint Pauls, NC
National Provider Identifier
1831634179
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MSA HOME HEALTH AND HOSPICE OF NC INC
Doing business as
Medi Home Hospice
Practice address
564 W McLean St Ste B
Saint Pauls, NC 28384-1421
Phone
(910) 671-6842
Fax
(910) 671-6846
NPI assigned
Dec 22, 2016
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mrs. Christina M Jeffcoat
Title
Coo/Exec VP
Phone
(803) 957-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

564 W McLean St Ste B
Saint Pauls, NC 28384-1421

Mailing address

PO Box 1928
Lexington, SC 29071-1928
Phone (803) 957-0500

Other identifiers 1

IdentifierTypeStateIssuer
1831634179MedicaidNC

Other names 1

  • Medi Home Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524002612 NC Part A Provider - Hospice 3072815091 Practice locations: Saint Pauls, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831634179. Details of each certification follow.

Hospice certification: CCN 341600

Legal name
MSA HOME HEALTH AND HOSPICE OF NC, INC
Doing business as
MEDI HOME HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 3, 2017
Last certification
Jan 26, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 8, 2015 in NC
Enrollment address
564 W McLean St
Ste B
Saint Pauls, NC 28384-1421

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Medi Home HospiceCCN 341600 · All quality measures
Ownership
For-Profit
Certified
Oct 3, 2017
Medicare certification status
ActiveFrom the Provider of Services file

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
34D2137179Medi Home Hospice564 W McLean Street, Ste B, Saint Pauls, NC 28384Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Albemarle Home Care and Hospice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

524 Coke Ave
Apt B
Edenton, NC 27932
Phone (252) 482-1127

1507 N Road St
Ste 2
Elizabeth Cty, NC 27909
Phone (252) 333-1149

220C Ocean Hwy S
Hertford, NC 27944
Phone (252) 426-2234

4242 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 321-1012

514 Peterson Dr
Lumberton, NC 28358
Phone (910) 671-6842

5798 Caratoke Hwy
#B
Poplar Branch, NC 27965
Phone (252) 453-2750

564 W McLean St
Ste B
Saint Pauls, NC 28384
Phone (910) 671-6842

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Patrick W Jeffcoat Individual Corporate OfficerCeo/ President/ Treasurer Dec 15, 2016
Corporate DirectorCeo/ President/ Treasurer Dec 15, 2016
W-2 Managing EmployeeCeo/ President/ Treasurer Dec 15, 2016
Christina M Jeffcoat Individual Corporate OfficerCoo/ Executive VP/ Secretary Dec 15, 2016
Corporate DirectorCoo/ Executive VP/ Secretary Dec 15, 2016
The Young Family Trust F/B/O Patrick Wayne Jeffcoat, Jr. Organization, Lexington, SC 5% Or Greater Indirect Ownership Interest Dec 7, 2020
Medical Services of America Inc Organization, Lexington, SC Corporation 5% Or Greater Direct Ownership Interest Dec 15, 2016 100%
Operational/Managerial Control Dec 15, 2016 100%
Charlene Locklear Individual Contracted Managing EmployeeMD; Aug 16, 2023
Edna Button Individual W-2 Managing EmployeeAd; Dec 14, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1831634179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711928",
            "telephone_number": "803-957-0500",
            "fax_number": "888-342-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W MCLEAN ST STE B",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841421",
            "telephone_number": "910-671-6842",
            "fax_number": "910-671-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSA HOME HEALTH AND HOSPICE OF NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO/EXEC VP",
        "authorized_official_telephone_number": "803-957-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831634179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Pauls, NC

Sources for this page

Verify at the official NPI Registry.