Active NPI
Haslup Hospice Enterprises, LTD
- Community Based Hospice Care Agency
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HASLUP HOSPICE ENTERPRISES, LTD
- Doing business as
- Interim HealthCare Hospice & Palliative Care
Interim Hospice & Pallative Care - Practice address
- 516 S Independence Blvd Ste 106
Virginia Beach, VA 23452-1153 - Phone
- (757) 466-1401
- Fax
- (757) 466-8223
- NPI assigned
- Dec 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N. Haslup
- Title
- President
- Phone
- (434) 295-5501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | VA | Primary |
Addresses
Primary practice location
516 S Independence Blvd Ste 106
Virginia Beach, VA 23452-1153
Mailing address
103 S Pantops Dr
Suite 205
Charlottesville, VA 22911-8617
Phone (434) 295-5501
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087041718 | Medicaid | VA | |
| 0087025190 | Medicaid | VA | |
| 1073530846 | Other | VA | NPI |
| 0087731656 | Medicaid | VA | |
| 1225068190 | Other | VA | NPI |
| 1073530846 | Medicaid | VA | |
| 0087710577 | Medicaid | VA |
Other names 2
- Interim HealthCare Hospice & Palliative Care
- Interim Hospice & Pallative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
Hospice certification: CCN 491603
- Legal name
- HASLUP HOSPICE ENTERPRISES LTD
- Doing business as
- INTERIM HEALTHCARE HOSPICE & PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 21, 2011
- Last certification
- Feb 27, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 1, 2018 in VA
- Enrollment address
- 516 S Independence Blvd
Ste 106
Virginia Beach, VA 23452-1153
Care Compare: Hospice
Medicare Care Compare- Listed as
- Interim Healthcare Hospice & Palliative Care
- Ownership
- For-Profit
- Certified
- Jul 21, 2011
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Haslup Hospice Enterprises LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Virginia Beach, VA
- NPI 1578205266
Locations
707 Westwood Office Park
Fredericksburg, VA 22401
Phone (540) 372-3890
3920 Plank Rd
Fredericksburg, VA 22407
Phone (540) 735-7112
703 Thimble Shoals Blvd
Ste B-2
Newport News, VA 23606
Phone (757) 644-6820
244 Rolla Mill Rd
Verona, VA 24482
Phone (540) 885-4413
516 S Independence Blvd
Ste 106
Virginia Beach, VA 23452
Phone (757) 466-1401
516 S Independence Blvd
Ste 107
Virginia Beach, VA 23452
Phone (757) 524-4027
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin Frederick Haslup | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 10% |
| Elizabeth H Donaldson | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 30% |
| Ivan Monev | Operational/Managerial Control | Apr 3, 2024 | |
| Haslup Holdings LTD | 5% Or Greater Direct Ownership Interest | Oct 1, 2018 | 100% |
| David Nagle Haslup | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 60% |
| Corporate Officer | Oct 1, 2018 | ||
| Corporate Director | Oct 1, 2018 | ||
| W-2 Managing Employee | Oct 1, 2018 | ||
| Operational/Managerial Control | Oct 1, 2018 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2018 | Change of Ownership | Interim Healthcare |
| Oct 1, 2018 | Change of Ownership | Interim Healthcare Hospice & Palliative Care |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Virginia Beach, VA
- NPI 1578205266
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Virginia Beach, VA
- NPI 1477177582
Affiliated clinicians 1
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": "1291334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1932401494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S PANTOPS DR",
"address_2": "SUITE 205",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118617",
"telephone_number": "434-295-5501",
"fax_number": "434-295-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 S INDEPENDENCE BLVD STE 106",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521153",
"telephone_number": "757-466-1401",
"fax_number": "757-466-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASLUP HOSPICE ENTERPRISES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-03",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "HASLUP",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "434-295-5501"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087041718",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087025190",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1073530846",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087731656",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225068190",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073530846",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087710577",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim HealthCare Hospice & Palliative Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Interim Hospice & Pallative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.