Active NPI
Pearland Regional Home Health, LLC
- Home Health Agency
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1103653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachelle P Baum, MSPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Healthcare
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 17, 2013
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachelle Baum | 5% Or Greater Direct Ownership Interest | Sep 6, 2011 | 60% |
| Corporate Director | Sep 6, 2011 | ||
| W-2 Managing Employee | Sep 6, 2011 | ||
| Jason Baum | 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.
-
- Physical Therapist
- Pearland, TX
- NPI 1285977652
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
- Pearland Prime Procedure Suite LLC
- Pearland Professional Group P.a.
- Pearland Professional Vision PLLC
- Pearland Psychiatry, PA
- Pearland Recovery and Consulting Inc
- Pearland Signature Dentistry
- Pearland Sleep and Wellness LLC
- Pearland Smiles PLLC
- Pearland Sunrise Medical Center LLC
- Pearland Texas State Optical, Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.