NPIMap

Organization Active NPI

Abby Home Health Care Inc

  • Home Health Agency
  • Richmond, VA
National Provider Identifier
1851471981
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
289 Issued in VA
Legal business name
ABBY HOME HEALTH CARE INC
Practice address
7323 Boulder View LN
Richmond, VA 23225-4953
Phone
(804) 745-0054
Fax
(804) 745-0388
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Mr. Robert J Moore
Title
Eeo
Phone
(770) 642-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 289 VA Primary

Addresses

Primary practice location

7323 Boulder View LN
Richmond, VA 23225-4953

Mailing address

7323 Boulder View LN
Richmond, VA 23225-4953
Phone (804) 745-0054

Other identifiers 2

IdentifierTypeStateIssuer
8750513MedicaidVA
4971281MedicaidVA

Other names 1

  • Welcome Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000439 VA Part A Provider - Home Health Agency 5890694897 Practice locations: Richmond, VA

Home health agency certification: CCN 497455

Legal name
ABBY HOME HEALTHCARE, INC
Doing business as
WELCOME HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 20, 1992
Last certification
Sep 19, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 1, 1992 in VA
Enrollment address
7323 Boulder View LN
Richmond, VA 23225-4953
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Welcome HomecareCCN 497455
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 20, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
49D2174501Abby Home Health Care Inc7323 Boulder View Lane, Richmond, VA 23225Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Robert J Moore Individual 5% Or Greater Indirect Ownership Interest Aug 17, 2020 100%
Corporate OfficerCeo Aug 17, 2020
Wendi Tyler Individual Corporate DirectorDirector of Nursing Aug 17, 2020 50%
Michael Kinker Individual W-2 Managing EmployeeAdministrator Aug 17, 2020 50%
Avery Partners Inc. Organization, Alpharetta, GA Corporation 5% Or Greater Direct Ownership Interest Aug 17, 2020 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1851471981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 BOULDER VIEW LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254953",
            "telephone_number": "804-745-0054",
            "fax_number": "804-745-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 BOULDER VIEW LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254953",
            "telephone_number": "804-745-0054",
            "fax_number": "804-745-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EEO",
        "authorized_official_telephone_number": "770-642-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8750513",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4971281",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welcome Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Welcome Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.