NPIMap

Sentara Enterprises

Organization Active NPI Home Health Agency · Elizabeth City, NC

NPI 1992745343 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1992745343
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC1071 (NC)
Legal business name
SENTARA ENTERPRISES
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
Organization subpart
Yes
Parent organization (as reported)
SENTARA ENTERPRISES

Authorized official

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

Other NPIs with the same Medicare PAC ID 16

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

Corporate family (same tax ID) 18

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Facilities with the same owner 30

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

View all 30

Affiliated clinicians 44

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

View all 44

Medicare Care Compare: Home health agency

Listed as
Sentara Home Care Services CCN 347202
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Non-Profit
Certified
Dec 1, 1993
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0881812Sentara Home Care Services
426 McArthur Drive, Suite B, Elizabeth City, NC 27909		Certificate of waiverJan 23, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

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
Corporation · Non-profit
Incorporated
Oct 26, 1982 in VA
Enrollment address
426 McArthur Dr
Ste B
Elizabeth City, NC 27909-4577

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 Officer
Treasurer		 Dec 30, 2024
Corporate Director
Bod - Evp & Cfo		 Dec 30, 2024
Dennis Matheis
Individual 		Corporate Director
Ceo -Bod		 Sep 1, 2022
Eric Conley
Individual 		Corporate Officer
Chair		 Aug 27, 2024
Corporate Director
Evp/Pres - Acute/Post Acute		 Aug 27, 2024
Earl Barnes
Individual 		Corporate Officer
Secretary		 Jun 6, 2022
Katrina M Melton
Individual 		Corporate Officer
Pres - VP-Post Acute& Pall Care		 Dec 30, 2024
Corporate Director
Bod - President& Gov Body Member		 Dec 30, 2024
Sunil Patel
Individual 		Corporate Director
Governing Body Member		 Dec 30, 2024
David Lee Parks
Individual 		Corporate Director
Governing Body Member		 Jun 1, 2025
W-2 Managing Employee Jun 1, 2025
Nicole Hayden
Individual 		W-2 Managing Employee
Regional Admin/Interim Director		 Jan 1, 2023
Sentara Health
Organization · Norfolk, VA
Non-profit 		5% Or Greater Direct Ownership Interest Jul 17, 1998 100%

Medicare enrollment records

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

National Provider Directory

Tax ID family
Sentara Enterprises Amb (19 organizations share this tax ID)
Part of
Sentara Enterprises Amb

Locations

300 E Church St
Elizabeth City, NC 27909

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
6600658MedicaidNC
77-01485MedicaidNC
34-17202MedicaidNC

Other names

  • Sentara Home Care Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2020.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600658",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77-01485",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-17202",
            "state": "NC"
        }
    ],
    "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

All providers in Elizabeth City, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.