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Sample dossier 02 · public data

Owner-operated home health agencies, VA / NC

Buy boxIndependent, owner-operated Medicare-certified home health agencies · Virginia + North Carolina · national chains and health systems excluded

All 21 primary agencies

Every name that passed the screen, in one table. Top-five picks first.

Top 5AgencyTownVolume (CMS proxy)CMS ★Founded / Medicare cert.Owner / administrator (public source)Independence / successionConf. Phone Email Direct contact
1Home & Heart HealthFredericksburg, VA~938mid4.5Cert. 1997Fd. 1997Kaye Pegelow; Pam Mace-Murray (co-owners)Nurse co-owners since the 1997 foundingHigh (•••) •••-•••••••@••••.com•••• locked
21st Care At Home (Commonwealth Home Health)South Boston, VA200+ staff~1,343 + ~6153.5Cert. 1985Fd. 1985Trey Burkholder (owner, per 2025 press)Third-generation family; succession already doneHigh (•••) •••-•••••••@••••.com•••• locked
3Blue Ridge Home Health CareGalax, VA~1,419mid1.5Cert. 2009Dustin H. Snow (founder; CEO / administrator)Site: ‘private, independent agency’; founder-runHigh (•••) •••-•••••••@••••.com•••• locked
4Hallmark Home Health CareDanville, VA~477small-mid3.5Cert. 1993Not published (SCC officer pull needed)Site: ‘independently, locally & women owned’Med (•••) •••-•••••••@••••.com•••• locked
5HealthView Home Health & HospiceRocky Mount, NC~810mid2.5Cert. 1973C. Saunders Roberson Jr. (CEO / registered-agent signal)Rare NC independent; check for capital partnersMed (•••) •••-•••••••@••••.com•••• locked
–Five Star Home Health CareChantilly, VA~1,145mid-large4.5Cert. 2012Johnny Wilkinson (founder & CEO)Founder-led; multi-service NoVA platformHigh (•••) •••-•••••••@••••.com•••• locked
–Valley Ridge Home HealthChristiansburg, VA~247small2.0Cert. 2016Avi Biston (managing member, per NPI)Member-managed proprietary LLCMed (•••) •••-•••••••@••••.com•••• locked
–Nayar Health CareAshland, VA~468 (Ashland) + other sites3.0Cert. 2017A.K. Nayar (President, CEO & owner)Founder-owned; multi-site VA + FL ◆High (•••) •••-•••••••@••••.com•••• locked
–Pavilion Medical Home Care & StaffingAnnandale, VA~623small-mid4.0Cert. 2008Gibson Iyeke Erhunmwunse (owner / president, per NPI directories)Proprietary; hospice affiliate at same addressMed (•••) •••-•••••••@••••.com•••• locked
–Care With LoveFairfax, VA~1,049mid-large3.5Cert. 2019Nefr Israel Michaels; Wes Michaels (co-founders)Founder co-owned; brand now franchising ◆High (•••) •••-•••••••@••••.com•••• locked
–Home Nursing Service of SW VirginiaAbingdon, VA~739mid4.0Cert. 1985Judy L. Wilson (administrator / VP ops); owner unconfirmedLong-tenured independent; owner sources conflictMed (•••) •••-•••••••@••••.com•••• locked
–Ultra Health Home CareCedar Bluff, VA~773mid2.5Cert. 2006Not identified (registered agent only)Proprietary; ownership unconfirmedLow (•••) •••-•••••••@••••.com•••• locked
–First Choice Home Health & HospiceHarrisonburg, VA~441small-mid2.0Cert. 1988Fd. 1977Not confirmed (directories conflict)Local; ‘not a big corporation’ per siteMed (•••) •••-•••••••@••••.com•••• locked
–Special Care Home HealthGrundy, VA~137small4.5Cert. 2005Not identifiedProprietary; affiliation unconfirmedLow (•••) •••-•••••••@••••.com•••• locked
–Mountain Regional Personal Care ServicesDuffield, VA~1,229mid2.5Cert. 2004Not identifiedProprietary; ownership unconfirmedLow (•••) •••-•••••••@••••.com•••• locked
–Kind HeartsOak Hall, VA~260small3.0Cert. 2020Erin Marie McKim (manager, per NPI)Proprietary LLC; MD mailing addressMed (•••) •••-•••••••@••••.com•••• locked
–Home Recovery Home HealthFarmville, VA~857mid3.0Cert. 1985Not identifiedProprietary; ownership unconfirmedLow (•••) •••-•••••••@••••.com•••• locked
–Esprit Home HealthcareAnnandale, VA~173small4.5Cert. 2001Not identifiedProprietary LLC; owner not on siteLow (•••) •••-•••••••@••••.com•••• locked
–Domain Medical Home Health & StaffingAlexandria, VA~134small4.5Cert. 2011Not identifiedProprietary; home health + staffingLow (•••) •••-•••••••@••••.com•••• locked
–PHC Home HealthCharlotte, NC~646 + ~362 (Cary)3.0Cert. 2010Ivans (Ivan) Belovs (director / co-owner signal)Independent in a CON market; founder control to confirmMed (•••) •••-•••••••@••••.com•••• locked
–Tristate Quality CareAlexandria, VA~462small-mid3.5Cert. 2013Not identifiedProprietary corp.; ownership unconfirmedLow (•••) •••-•••••••@••••.com•••• locked

◆ multi-site platform or franchising brand — confirm what’s for sale. Contact columns are locked in the public sample and filled in the paid sheet.

Call these five first

Where we’d start, and why.

  1. 1

    Home & Heart Health

    Fredericksburg, VA · CMS ~938 · Fd. 1997 · cert. 1997 · High

    Nurse co-owners Kaye Pegelow and Pam Mace-Murray have run it since the 1997 founding. 4.5-star CMS quality, solid volume, Fredericksburg MSA. A textbook succession conversation.

  2. 2

    1st Care At Home (Commonwealth Home Health)

    South Boston, VA · CMS 200+ staff · Fd. 1985 · cert. 1985 · High

    Veteran-founded in 1985, now third-generation under owner Trey Burkholder. 200+ staff and two Medicare CCNs across Southside VA and Lynchburg. Clear principal, clear geography; the angle is scale or partnership, not retirement.

  3. 3

    Blue Ridge Home Health Care

    Galax, VA · CMS ~1,419 · Cert. 2009 · High

    The site calls it a private, independent agency, and founder Dustin H. Snow is CEO and administrator. Strong volume for rural SW Virginia. Low quality star (1.5), so clinical diligence comes first.

  4. 4

    Hallmark Home Health Care

    Danville, VA · CMS ~477 · Cert. 1993 · Med

    Danville agency, Medicare-certified since 1993; its site says independently, locally and women owned. Mid-small volume, 3.5 stars. Owner isn’t named publicly, so pull SCC officers before the call.

  5. 5

    HealthView Home Health & Hospice

    Rocky Mount, NC · CMS ~810 · Cert. 1973 · Med

    One of the few true independents in a certificate-of-need state. Home health plus hospice, with a CEO / registered-agent signal on C. Saunders Roberson Jr. Confirm SOS members and any capital partners early.

Borderline appendix 3 names held out of the primary list
NameTownWhy it’s held out
Well Care Home HealthWilmington, NCScaled regional platform (~950 staff); above a search-fund bite. Shown as the NC upper bound.
PathWell Home Health & HospiceWinchester, VAMulti-market growth platform with likely capital partners; not a classic owner-operator.
Continuum II Home Care & Hospice (Cardinal Hospice Care)Jacksonville, NCHome health operation unconfirmed: state license now DBA Cardinal Hospice Care; no CMS volume or quality data.

A live engagement can promote any of these after a phone screen.

How we sourced this

  • CMS Provider Data Catalog (every Medicare-certified VA and NC agency, proprietary filter), Medicare Care Compare, NC DHSR licensure lists, NPI registry records, company pages and local press.
  • Volume = CMS timely-care denominator, a workload proxy only (not census or revenue). Medicare cert. = CMS certification date for the agency’s CCN; founding year shown only where the company or press states it.
  • NC’s certificate-of-need rules keep true independents scarce, so the NC count is small by design, not padded.
  • Owners are named only from public records; contact details are held back for the paid sheet.

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