NPIMap

Organization Active NPI

Medi Home Health Agency, Inc

  • Community Based Hospice Care Agency
  • Charlottesville, VA
National Provider Identifier
1962454769
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MEDI HOME HEALTH AGENCY, INC
Practice address
1430 Rolkin CT Ste 203
Charlottesville, VA 22911-3582
Phone
(434) 244-0890
Fax
(434) 244-0132
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mrs. Christina M Jeffcoat
Title
Coo/Exec VP
Phone
(803) 957-0500

Specialties & licenses 1

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

Addresses

Primary practice location

1430 Rolkin CT Ste 203
Charlottesville, VA 22911-3582

Mailing address

PO Box 1928
Lexington, SC 29071-1928
Phone (803) 957-0500

Other identifiers 1

IdentifierTypeStateIssuer
010251435MedicaidVA

Other names 1

  • Medi Home Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000513 VA Part A Provider - Hospice 3173431590 Practice locations: Charlottesville, VA; Culpeper, VA

Hospice certification: CCN 491579

Legal name
MEDI HOME HEALTH AGENCY, INC.
Doing business as
MEDI HOME HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 3, 2005
Last certification
Feb 20, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 11, 1996 in VA
Enrollment address
1430 Rolkin CT
Ste 203
Charlottesville, VA 22911-3582

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Medi Home HospiceCCN 491579
Ownership
For-Profit
Certified
Nov 3, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1040598Medi Home Health Agency, Inc1430 Rolkin Court, Suite 203, Charlottesville, VA 22911Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medi Home Health Agency Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1430 Rolkin Ct
Ste 203
Charlottesville, VA 22911
Phone (434) 244-0890

4461 Cox Rd
Ste 100
Glen Allen, VA 23060
Phone (804) 282-4301

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Patrick W Jeffcoat Individual Corporate OfficerBoard/Ceo/ President/ Treasurer Dec 5, 2014
Corporate DirectorBoard/Ceo/ President/ Treasurer Dec 5, 2014
W-2 Managing EmployeeBoard/Ceo/ President/ Treasurer Dec 5, 2014
Brooke a Bostic Individual Contracted Managing EmployeeMD; Sep 24, 2023
Christina M Jeffcoat Individual Corporate OfficerCoo/ Executive VP/ Secretary Dec 5, 2014
Corporate DirectorBoard/Coo/Executive VP/Secretary Dec 5, 2014
The Young Family Trust F/B/O Patrick Wayne Jeffcoat, Jr. Organization, Lexington, SC 5% Or Greater Indirect Ownership Interest Dec 7, 2020 100%
Medical Services of America Inc Organization, Lexington, SC For-profit 5% Or Greater Direct Ownership Interest May 1, 2005 100%
Operational/Managerial Control May 1, 2005
Chastity Taylor Individual W-2 Managing EmployeeAd; Apr 3, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1962454769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711928",
            "telephone_number": "803-957-0500",
            "fax_number": "888-342-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ROLKIN CT STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113582",
            "telephone_number": "434-244-0890",
            "fax_number": "434-244-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO/EXEC VP",
        "authorized_official_telephone_number": "803-957-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010251435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.