NPIMap

Organization Active NPI

Augusta Health Care, Inc

Doing business as Augusta Health Home Health

  • Home Health Agency
  • Fishersville, VA
National Provider Identifier
1992771067
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUGUSTA HEALTH CARE, INC
Doing business as
Augusta Health Home Health
Practice address
64 Sports Medicine Dr.
Fishersville, VA 22939
Phone
(540) 932-4943
Fax
(540) 932-4616
NPI assigned
Feb 27, 2006
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AUGUSTA HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
William J Meador
Title
Cfo
Phone
(540) 932-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

64 Sports Medicine Dr.
Fishersville, VA 22939

Mailing address

PO Box 215
Fishersville, VA 22939-0215

Other names 1

  • Augusta Health Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000513 VA Part A Provider - Home Health Agency 1355248212 Practice locations: Fishersville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992771067. Details of each certification follow.

Home health agency certification: CCN 497285

Legal name
AUGUSTA HEALTH CARE INC
Doing business as
AUGUSTA HEALTH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 1984
Last certification
Sep 21, 2006
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1988 in VA
Enrollment address
64 Sports Medicine Drive
Fishersville, VA 22939
HHA Branch

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: Home health agency

Medicare Care Compare
Listed as
Augusta Home Care,CCN 497285 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Mar 13, 1984
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
Augusta Medical Center12 organizations share this tax ID, including this one
Part of
Augusta Medical Center

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Scott Crabtree Individual Corporate Officer Aug 16, 2010
W-2 Managing Employee Aug 16, 2010
William J Meador Individual Corporate Officer May 22, 2023
W-2 Managing Employee May 22, 2023
Mary Mannix Individual Corporate OfficerFache Mar 18, 2008
W-2 Managing EmployeeFache Mar 18, 2008
Kimberly Ann Sullenger Individual Corporate Director Jan 28, 2022
W-2 Managing Employee Jan 28, 2022

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Augusta Health Care IncFishersville, VA, CCN 495214 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Jul 16, 1990
Jul 16, 1990
Karolwood Gardens RichmondHenrico, VA, CCN 495428 Skilled nursing facility Adp of the SNF Jun 1, 2021
Augusta Health Maury River Family PracticeGlasgow, VA, CCN 498934 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008
Augusta Health Primary Care LexingtonLexington, VA, CCN 498935 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1992771067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SPORTS MEDICINE DR.",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-932-4943",
            "fax_number": "540-932-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUGUSTA HEALTH CARE, INC",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-932-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Health Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.