NPIMap

Organization Active NPI

Carilion Tazewell Community Hospital

Doing business as Carilion Home Care Services Tazewell

  • Home Health Agency
  • Tazewell, VA
National Provider Identifier
1912987231
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARILION TAZEWELL COMMUNITY HOSPITAL
Doing business as
Carilion Home Care Services Tazewell
Practice address
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone
(276) 988-8700
NPI assigned
Jan 20, 2006
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CARILION TAZEWELL COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Eleanor Altman Prescott
Title
Director of Payer Contract Admin.
Phone
(540) 224-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5452

Other identifiers 4

IdentifierTypeStateIssuer
1360556OtherUMWA
733963OtherUS DEPT OF LABOR
4970187MedicaidVA
740027OtherVAANTHEM BCBS

Other names 2

  • Carilion Home Care Services Tazewell Doing business as
  • Carilion Tazwell Community Hospital - Carilion Clinic Home Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070224000104 VA Part A Provider - Home Health Agency 4183604259 Practice locations: Tazewell, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912987231. Details of each certification follow.

Home health agency certification: CCN 497018

Legal name
CARILION TAZEWELL COMMUNITY HOSPITAL
Doing business as
CARILION HOME CARE SERVICES TAZEWELL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 1985
Last certification
Nov 7, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
388 Ben Bolt Ave
Tazewell, VA 24651-9700

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carilion Home Care Services TazewellCCN 497018 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 10, 1985
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
Tax ID family
Carilion Tazewell Comm Hosp4 organizations share this tax ID, including this one
Part of
Carilion Tazewell Comm Hosp

Other organizations with this tax ID 3

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

Locations

35 Medical Ct
Hardy, VA 24101
Phone (540) 484-4836

1211 S Jefferson St
Roanoke, VA 24016
Phone (540) 985-9885

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Alicia Bales Individual Corporate DirectorHospital Senior Director/Ceo Oct 1, 2023
George Robert Vaughan Individual Corporate DirectorTreasurer Jan 1, 2010
James Thompson Individual Corporate DirectorChair Member Board of Directors Jul 28, 2015
Kristie G Williams Individual Corporate DirectorHospital Vice President Bodirect Jul 28, 2015
Mandy French Individual Corporate Director Jan 1, 2017
Carilion Tazewell Community Hospital Organization, Tazewell, VA Corporation, Non-profit Operational/Managerial Control Sep 30, 2021
Nellie Marie Stillwell Individual Corporate Director Oct 1, 2021
Eleanor Prescott Individual Corporate DirectorDirector of Payer Contracting Coord Oct 14, 2025
Joshua Hartle Individual Corporate DirectorDirector of Provider Enrollment Oct 6, 2025
Donald B Halliwill Individual Corporate Director Jan 17, 2012
Michael D Hymes Individual Corporate DirectorBoard of Directors Memeber Jul 28, 2015
Anthony Grills Individual Corporate Director Jan 1, 2017
William J Flattery Individual Corporate DirectorMemebr of Board of Director Jul 1, 2015
Michael Hoops Individual Corporate Director Sep 30, 2022
Carilion Clinic Organization, Roanoke, VA Corporation, Non-profit Operational/Managerial Control Sep 30, 2021
Mark W Mossey Individual Corporate Director Oct 1, 2021
Donald Linkous Individual Corporate Director Oct 1, 2021
Junetta N Bowen Individual Corporate DirectorMember, Board of Directors Dec 1, 2025
Kimberly Reynolds Individual W-2 Managing Employee May 22, 2023

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 31

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

View all 31

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1912987231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5452",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION TAZEWELL COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION TAZEWELL COMMUNITY HOSPITAL",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ALTMAN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACT ADMIN.",
        "authorized_official_telephone_number": "540-224-5379"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1360556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "733963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4970187",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "740027",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Home Care Services Tazewell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carilion Tazwell Community Hospital - Carilion Clinic Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.