MEDI HOME HEALTH AGENCY, INC (NPI# 1104879881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104879881 |
| Entity Type | Organization |
| Organization Name | MEDI HOME HEALTH AGENCY, INC |
| Other Organization Name | MEDI HOME HEALTH & HOSPICE |
| Practice Address |
4419 Pheasant Ridge Rd Ste 201 Roanoke VA 24014-5282 |
| Mailing Address |
Po Box 1928 Lexington SC 29071-1928 |
| Practice Telephone | 5402781322 |
| Practice Fax Number | 5402781325 |
| Mailing Telephone | 8039570500 |
| Mailing Fax Number | 8883426190 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | MRS. CHRISTINA M JEFFCOAT (VICE PRESIDENT) |
| Authorized Official Telephone | 8039570500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSP-06113 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010151198 | 05 |
| Other Name | Type Code |
|---|---|
| Medi Home Health & Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5369 Peters Creek Rd Nw, Roanoke, VA 240193849 | 5402781322 | 5402781325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497908578 | Medi Home Health Agency, Inc | Hospice Care, Community Based | 68150 Bayberry Drive, St. Clairsville, OH 43950-8547 | 2008-11-03 |
| 1174578694 | Medi Home Health Agency, Inc | Home Health | 6354 Us Route 60 E, Ste 11, Barboursville, WV 25504-1247 | 2006-05-23 |
| 1093760779 | Medi Home Health Agency, Inc | Home Health | 4419 Pheasant Ridge Rd Ste 202, Roanoke, VA 24014-5282 | 2006-05-23 |
| 1962454769 | Medi Home Health Agency, Inc | Hospice Care, Community Based | 4461 Cox Rd Ste 100, Glen Allen, VA 23060 | 2006-05-17 |
| Street Address |
4419 PHEASANT RIDGE RD STE 201 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-5282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1487104428 | Intrepid of Piedmont Ridge, Inc. | Hospice Care, Community Based | 4005 Electric Rd Ste 200, Roanoke, VA 24018-8435 | 2016-10-13 |
| 1205119542 | Cinta Healthcare LLC | Hospice Care, Community Based | 3241 Electric Rd Bldg D, Roanoke, VA 24018-6405 | 2011-09-22 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1710925227 | Countryside Hospice Care Inc | Hospice Care, Community Based | 3355 Highway 431, Suite 3, Roanoke, AL 36274-2723 | 2006-06-04 |
| 1174581466 | Adventa Hospice, LLC | Hospice Care, Community Based | 5221 Valleypark Dr, Suite 2, Roanoke, VA 24019-3004 | 2006-05-03 |
| 1346208337 | Gentle Shepherd Hospice Inc. | Hospice Care, Community Based | 6045 Peters Creek Rd, Roanoke, VA 24019-4029 | 2006-05-02 |
| 1104882778 | Faith Homecare, Inc. | Hospice Care, Community Based | 60008 Highway 22, Roanoke, AL 36274-2419 | 2006-04-24 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1548268923 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 2408 Electric Rd, Roanoke, VA 24018-3523 | 2005-07-11 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.