Augusta Health Care, Inc
Organization Active NPI Home Health Agency · Fishersville, VA
NPI 1992771067 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1992771067
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AUGUSTA HEALTH CARE, INC
- Practice address
- 64 Sports Medicine Dr.
Fishersville, VA 22939 - Phone
- (540) 932-4943
- Fax
- (540) 932-4616
- NPI assigned
- Feb 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AUGUSTA HEALTH CARE, INC
Authorized official
- Name
- William J Meador
- Title
- Cfo
- Phone
- (540) 932-4000
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 11
Practitioners 63
-
Gary L Aragon, M.D.
-
Glenn M Brammer, MD
-
Christopher Thomas Bunn, D.O.
-
Jonathan Ashby Craun, D.O.
-
Tyler A Dailey, M.D.
-
Edward H Estrin, MD
-
Shayan Amir Gates, D.O.
-
Charles D. Goff, M.D.
-
Mounika Guduru, MD
-
Sean N Higginson, MD
-
Andrew Kaiser, MD
-
Sean Kearns, M.D.
-
Liisa L Laakso, DO
-
Jason M. Lawrence, M.D.
-
Jon Christopher Myers, D.O.
-
Clinton S. Pease, M.D.
-
V. Colt Peyton, MD
-
Duke R Pham, MD
-
Bert Cody Piggott Jr., M.D.
-
Amani D Politano, MD
-
Lewis Alan Siegel, M.D.
-
Tseday Eyasu Sirak, M.D.
Affiliated clinicians 73
-
Preeti Agarwala, M.D.
-
Lisa A Alleyne, M.D.
-
Brittany Leigh Barbarisi, PA-C
-
Susan Neely Becker, FNP
-
Jasmine Brickey, PA
-
Ashley Nicole Campbell, FNP-BC
-
Kimberly M Cheek, MD
-
David B Chernoff, MD
-
Charles J E Cole, M.D.
-
Tanika Kay Cushing, PA-C
-
Daniel Brian Dean, M.D.
-
Kathleen Sabina Dunbar, M.D.
-
Ramon C Esteban, M.D.
-
Franklin A Fisher, P.A.-C
-
Jeffrey Scott Genda, M.D.
-
Sarah Coleman Gibson, FNP-C
Medicare Care Compare: Home health agency
- Listed as
- Augusta Home Care,
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Non-Profit
- Certified
- Mar 13, 1984
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
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
- Corporation · Non-profit
- Incorporated
- Feb 24, 1988 in VA
- Enrollment address
- 64 Sports Medicine Drive
Fishersville, VA 22939
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Scott Crabtree |
Corporate Officer | Aug 16, 2010 | |
| W-2 Managing Employee | Aug 16, 2010 | ||
| William J Meador |
Corporate Officer | May 22, 2023 | |
| W-2 Managing Employee | May 22, 2023 | ||
| Mary Mannix |
Corporate Officer |
Mar 18, 2008 | |
| W-2 Managing Employee |
Mar 18, 2008 | ||
| Kimberly Ann Sullenger |
Corporate Director | Jan 28, 2022 | |
| W-2 Managing Employee | Jan 28, 2022 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Augusta Health Care Inc |
Skilled nursing facility | Adp of the SNF Direct Ownership Interest (100%) |
Jul 16, 1990 Jul 16, 1990 |
| Karolwood Gardens Richmond |
Skilled nursing facility | Adp of the SNF | Jun 1, 2021 |
| Augusta Health Maury River Family Practice |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 18, 2008 |
| Augusta Health Primary Care Lexington |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 18, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000513 | VA | Part a Provider - Home Health Agency | 1355248212 | Practice locations: Fishersville, VA |
National Provider Directory
- Tax ID family
- Augusta Medical Center
- Part of
- Augusta Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
64 Sports Medicine Dr.
Fishersville, VA 22939
Mailing address
PO Box 215
Fishersville, VA 22939-0215
Other names
- Augusta Health Home Health
Other providers in Fishersville, VA
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc
- Augusta Health Care, Inc.
- Augusta Health Care, Inc.
- Augusta Health Care, Inc.
- Augusta Medical Group
- Augusta Psychological Associates
All providers in Fishersville, VA · Home Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.