Organization Active NPI

Pearland Regional Home Health, LLC

  • Home Health Agency
  • Pearland, TX
National Provider Identifier
1003046178
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1103653 Issued in TX
Legal business name
PEARLAND REGIONAL HOME HEALTH, LLC
Practice address
1980 Country Place Pkwy
Suite 100
Pearland, TX 77584-2137
Phone
(281) 485-5775
Fax
(281) 485-5773
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mrs. Rachelle P Baum, MSPTNPI 1285977652
Title
Owner/ Administrator
Phone
(281) 485-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1103653 TX Primary

Addresses

Primary practice location

1980 Country Place Pkwy
Suite 100
Pearland, TX 77584-2137

Mailing address

1980 Country Place Pkwy
Suite 100
Pearland, TX 77584-2137
Phone (281) 485-5775

Other names 1

  • Casa Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110303000037 TX Part A Provider - Home Health Agency 6305028911 Practice locations: Pearland, TX

Home health agency certification: CCN 747815

Legal name
PEARLAND REGIONAL HOME HEALTH, LLC
Doing business as
CASA HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 17, 2013
Last certification
Aug 1, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 2, 2009 in TX
Enrollment address
1980 Country Place Parkway
Suite 100
Pearland, TX 77584

Care Compare: Home health agency

Medicare Care Compare
Listed as
Casa HealthcareCCN 747815
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jan 17, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1980 Country Place Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 485-5775

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Rachelle Baum Individual 5% Or Greater Direct Ownership Interest Sep 6, 2011 60%
Corporate Director Sep 6, 2011
W-2 Managing Employee Sep 6, 2011
Jason Baum Individual 5% Or Greater Direct Ownership Interest Sep 6, 2011
Corporate Director Sep 6, 2011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1003046178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 COUNTRY PLACE PKWY",
            "address_2": "SUITE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842137",
            "telephone_number": "281-485-5775",
            "fax_number": "281-485-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 COUNTRY PLACE PKWY",
            "address_2": "SUITE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842137",
            "telephone_number": "281-485-5775",
            "fax_number": "281-485-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND REGIONAL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "281-485-5775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "1103653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.