Wings Over Virginia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WINGS OVER VIRGINIA LLC

Doing business as

Wings Over Virginia Hospice

Practice address

6325 N Center Dr Ste 204
Norfolk, VA 23502-0020

Phone

(757) 392-9684

NPI assigned

May 19, 2021

Last updated

Dec 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Smith

Title

Office Manager

Phone

(757) 392-9684

Specialties & licenses 1

Addresses

Other names 1

• Wings Over Virginia Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902470420. Details of each certification follow.

• CCN 491647 Hospice · Active · Details

Hospice certification: CCN 491647

Legal name

WINGS OVER VIRGINIA LLC

Doing business as

WINGS OVER VIRGINIA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 18, 2022

Last certification

Mar 18, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Sep 30, 2020 in VA

Enrollment address

6325 N Center Dr
Ste 204
Norfolk, VA 23502-0020

Listed as

Wings Over Virginia LLCCCN 491647 · All quality measures

Ownership

For-Profit

Certified

Mar 18, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Thomas A Alberico, MD

  • Hematology & Oncology Physician
  • Norfolk, VA
  • NPI 1922001064

  Corporate Officer

  CMS ownership

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.

• Brittany Cagni, NP-C

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1861131039
  NPD

Affiliated clinicians 4

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

• Thomas A Alberico, MD

  • Hematology & Oncology Physician
  • Norfolk, VA
  • NPI 1922001064

  Hospice

  Care Compare affiliation
• Catherine Wachter Bergeron, M.D.

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1669701694

  Hospice

  Care Compare affiliation
• Amir Hajimomenian, MD

  • Internal Medicine Physician
  • Virginia Beach, VA
  • NPI 1497735112

  Hospice

  Care Compare affiliation
• Nabil Tadros, MD

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1982684692

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1902470420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020020",
            "telephone_number": "757-392-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020020",
            "telephone_number": "757-392-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OVER VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-392-9684"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings Over Virginia Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wings Over Virginia Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiara Takeila Winfield, RRT
• Raina Winfrey, MD
• James Scott Wing, MD
• Mary Alden Wing, AU.D.
• Wings of Wellness Mental Health, LLC
• Timothy S Winkler, PA
• Maria P Winn, FNP
• Steven Winn, PA-C
• Megan Spurrell Winning, MD
• Gregory Scott Winslow, DDS

• Community Based Hospice Care Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.