NPIMap

Organization Active NPI

Halcyon Home, LLC

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1003185059
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HALCYON HOME, LLC
Practice address
8133 Mesa Dr
Suite 200
Austin, TX 78759-8655
Phone
(512) 815-9009
Fax
(512) 233-5161
NPI assigned
Dec 20, 2011
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Ms. Amy E Sweet, PA-CNPI 1689616591
Title
Administrator
Phone
(512) 815-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

8133 Mesa Dr
Suite 200
Austin, TX 78759-8655

Mailing address

8133 Mesa Dr
Suite 200
Austin, TX 78759-8655
Phone (512) 815-9009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140410001053 TX Part A Provider - Home Health Agency 4688806433 Practice locations: Austin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003185059. Details of each certification follow.

Home health agency certification: CCN 747931

Legal name
HALCYON HOME LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 30, 2014
Last certification
Aug 21, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 30, 2014 in TX
Enrollment address
8133 Mesa Drive
Ste 200
Austin, TX 78759-8655
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Halcyon Home LLCCCN 747931 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Halcyon Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

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
Amy E Sweet Individual 5% Or Greater Direct Ownership Interest Jun 14, 2016 100%
Corporate DirectorBoard Member Jun 1, 2015
W-2 Managing EmployeeCeo Jun 1, 2015
Operational/Managerial ControlCeo Jun 1, 2015
Halcyon Home LLC Organization, Austin, TX LLC Operational/Managerial Control Nov 18, 2011 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reliable Home Health ServicesWaco, TX, CCN 743146 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 21, 2021
Halcyon HomeSan Marcos, TX, CCN 457094 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 11, 2019
Halcyon HomeSan Marcos, TX, CCN 971605 Hospice 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2019
Halcyon HomeWaco, TX, CCN A91525 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 27, 2020
Feb 27, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1003185059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-815-9009",
            "fax_number": "512-233-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-815-9009",
            "fax_number": "512-233-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-815-9009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.