NPIMap

Organization Active NPI

Riverside Hospice and Homecare Services LLC

  • Community Based Hospice Care Agency
  • Warsaw, VA
National Provider Identifier
1891394607
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC
Practice address
4719A Richmond Rd
Warsaw, VA 22572-3143
Phone
(804) 333-8470
NPI assigned
Oct 22, 2020
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Walter W Austin Jr.
Title
Executive Vice President/Cfo
Phone
(757) 875-7545

Specialties & licenses 1

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

Addresses

Primary practice location

4719A Richmond Rd
Warsaw, VA 22572-3143

Mailing address

608 Denbigh Blvd Ste 800
Newport News, VA 23608-4487

Other practice location 1

8005 Creighton Pkwy Ste A
Mechanicsville, VA 23111-4594
Phone (757) 443-9710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107001807 VA Part A Provider - Hospice 2769895978 Practice locations: Mechanicsville, VA; Warsaw, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891394607. Details of each certification follow.

Hospice certification: CCN 491554

Legal name
RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC
Doing business as
RIVERSIDE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 21, 1999
Last certification
Jun 6, 2014
Ownership / control type
Other
Organization structure
LLCNon-profit
Incorporated
Oct 23, 2020 in VA
Enrollment address
4719A Richmond Rd
Warsaw, VA 22572-3143

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Riverside HospiceCCN 491554 · All quality measures
Ownership
Other
Certified
Dec 21, 1999
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Riverside Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

4719 Richmond Rd
#A
Warsaw, VA 22572
Phone (804) 333-8450

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Patrick Henry Hospital, Inc. Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2020
Walter W Austin Individual Corporate OfficerCfo/Board Treasurer Dec 31, 2020
Jason Houser Individual Corporate OfficerVP Corp Counsel/Board Secretary Dec 31, 2020
Michael J Dacey Individual Corporate OfficerRHS President/Coo Dec 31, 2020
Corporate DirectorBoard Member Feb 1, 2023
Frankye Myers Individual Corporate OfficerSVP/Cno RHS Jul 2, 2022
Barbara J. Labonte Individual W-2 Managing Employee Dec 31, 2020
Joyce J Alewynse Individual Corporate DirectorBoard Member Feb 1, 2021
Kirby Smith Individual Corporate DirectorBoard Member Dec 31, 2020
Joseph F Verser Individual Corporate DirectorBoard Member Feb 1, 2022
Maureen Thompson Individual Contracted Managing EmployeeExec Dir Riverside Home Care SVS Dec 30, 2020
Brooke Tiller Individual Corporate DirectorBoard Member Feb 1, 2022
Keith D Roots Individual Corporate DirectorBoard Member Feb 1, 2023
Barbara Smith Haywood Individual Corporate DirectorBoard Member Dec 31, 2020
Dawn R Smith Individual Corporate DirectorBoard Member Feb 1, 2023
Jared L Bates Individual Corporate DirectorBoard Member Jan 1, 2021
Edward Heckler Individual Corporate OfficerVP, RHS Life Long Health Dec 31, 2020
Conway Smith Individual Corporate DirectorBoard Chairman Dec 31, 2020

Owners & managing parties with NPI records 4

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

Facilities with the same owner 1

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

Change-of-ownership history 1

DateEventCounterparty
Dec 31, 2020 Change of OwnershipThis provider was the buyer Riverside Tappahannock HospiceCCN 491554, VA, NPI 1669478194

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1891394607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD STE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719A RICHMOND RD",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225723143",
            "telephone_number": "804-333-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 Creighton Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231114594",
            "country_code": "US",
            "telephone_number": "757-443-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "757-875-7545",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, VA

Sources for this page

Verify at the official NPI Registry.