NPIMap

Organization Active NPI

Richlands Home Care, Inc.

  • Home Health Agency
  • Cedar Bluff, VA
National Provider Identifier
1881649358
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO360 Issued in VA
Legal business name
RICHLANDS HOME CARE, INC.
Practice address
2032 Cedar Valley Drive
Cedar Bluff, VA 24609-8753
Phone
(276) 596-9536
Fax
(276) 596-9538
NPI assigned
May 23, 2006
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Trista R Blankenship, RNNPI 1558061648
Title
Administrator
Phone
(276) 596-9536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO360 VA Primary

Addresses

Primary practice location

2032 Cedar Valley Drive
Cedar Bluff, VA 24609-8753

Mailing address

PO Box 418
Richlands, VA 24641-0418
Phone (276) 596-9536

Other identifiers 1

IdentifierTypeStateIssuer
49-7611OtherVAMEDICARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060526000006 VA Part A Provider - Home Health Agency 3476564725 Practice locations: Cedar Bluff, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881649358. Details of each certification follow.

Home health agency certification: CCN 497611

Legal name
RICHLANDS HOME CARE, INC.
Doing business as
ULTRA HEALTH HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2006
Last certification
Jul 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 17, 2005 in VA
Enrollment address
1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ultra Health Home CareCCN 497611 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 13, 2006
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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2032 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 596-9536

2032 Cedar Valley Dr
#1
Cedar Bluff, VA 24609
Phone (276) 596-9536

2703 Steelsburg Hwy
Ste 4
Cedar Bluff, VA 24609
Phone (276) 596-9536

1928 Front St
#206
Richlands, VA 24641
Phone (276) 596-9536

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Marvin D Harman Individual 5% Or Greater Direct Ownership Interest Oct 3, 2022 49%
Corporate OfficerVice President Jun 6, 2013
Corporate DirectorPresident Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Garden Enterprise, LLC. Organization, Piney Flats, TN LLC 5% Or Greater Direct Ownership Interest Oct 3, 2022 25.5%
Operational/Managerial Control Oct 3, 2022 25.5%
Levisa Affiliates, LLC. Organization, Piney Flats, TN LLC 5% Or Greater Direct Ownership Interest Oct 3, 2022 25.5%
Operational/Managerial Control Oct 3, 2022 25.5%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ultra Health HospicePounding Mill, VA, CCN 491604 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1881649358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410418",
            "telephone_number": "276-596-9536",
            "fax_number": "276-596-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 CEDAR VALLEY DRIVE",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246098753",
            "telephone_number": "276-596-9536",
            "fax_number": "276-596-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLANDS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-596-9536",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "49-7611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

Verify at the official NPI Registry.