NPIMap

Organization Active NPI

Sentara Enterprises

Doing business as Sentara Home Care Services

  • Home Health Agency
  • Elizabeth City, NC
National Provider Identifier
1992745343
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1071 Issued in NC
Legal business name
SENTARA ENTERPRISES
Doing business as
Sentara Home Care Services
Practice address
426 McArthur Dr Ste B
Elizabeth City, NC 27909-4577
Phone
(252) 337-9320
Fax
(252) 331-1892
NPI assigned
Jun 7, 2006
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SENTARA ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Teresa L Edwards
Title
President
Phone
(757) 553-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1071 NC Primary

Addresses

Primary practice location

426 McArthur Dr Ste B
Elizabeth City, NC 27909-4577

Mailing address

535 Independence Pkwy
Suite 200
Chesapeake, VA 23320-5176
Phone (757) 553-3000

Other names 1

  • Sentara Home Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000629 NC Part A Provider - Home Health Agency 6608770151 Practice locations: Elizabeth City, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992745343. Details of each certification follow.

Home health agency certification: CCN 347202

Legal name
SENTARA ENTERPRISES
Doing business as
SENTARA HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 1993
Last certification
Feb 22, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in VA
Enrollment address
426 McArthur Dr
Ste B
Elizabeth City, NC 27909-4577

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sentara Home Care ServicesCCN 347202 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Dec 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
34D0881812Sentara Home Care Services426 McArthur Drive, Suite B, Elizabeth City, NC 27909Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sentara Enterprises Amb19 organizations share this tax ID, including this one
Part of
Sentara Enterprises Amb

Other organizations with this tax ID 18

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

View all 18

Locations

300 E Church St
Elizabeth City, NC 27909

426 McArthur Dr
Ste B
Elizabeth City, NC 27909
Phone (252) 337-9320

Ownership & related parties

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.

NameRoleSinceShare
Melinda Hancock Individual Corporate OfficerTreasurer Dec 30, 2024
Corporate DirectorBod - Evp & Cfo Dec 30, 2024
Dennis Matheis Individual Corporate DirectorCeo -Bod Sep 1, 2022
Eric Conley Individual Corporate OfficerChair Aug 27, 2024
Corporate DirectorEvp/Pres - Acute/Post Acute Aug 27, 2024
Earl Barnes Individual Corporate OfficerSecretary Jun 6, 2022
Katrina M Melton Individual Corporate OfficerPres - VP-Post Acute& Pall Care Dec 30, 2024
Corporate DirectorBod - President& Gov Body Member Dec 30, 2024
Sunil Patel Individual Corporate DirectorGoverning Body Member Dec 30, 2024
David Lee Parks Individual Corporate DirectorGoverning Body Member Jun 1, 2025
W-2 Managing Employee Jun 1, 2025
Nicole Hayden Individual W-2 Managing EmployeeRegional Admin/Interim Director Jan 1, 2023
Sentara Health Organization, Norfolk, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 17, 1998 100%

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1992745343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 INDEPENDENCE PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205176",
            "telephone_number": "757-553-3000",
            "fax_number": "757-382-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MCARTHUR DR STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094577",
            "telephone_number": "252-337-9320",
            "fax_number": "252-331-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTARA ENTERPRISES",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-553-3000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.