Organization Active NPI

Alomega Home Health Care LLC

  • Home Health Agency
  • College Station, TX
National Provider Identifier
1013305077
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALOMEGA HOME HEALTH CARE LLC
Practice address
4064 State Highway 6 S
College Station, TX 77845-8962
Phone
(979) 704-6252
Fax
(979) 704-6254
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Mrs. Alverna McCullough
Title
President
Phone
(979) 704-6252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4064 State Highway 6 S
College Station, TX 77845-8962

Mailing address

PO Box 11304
College Station, TX 77845-8962
Phone (979) 704-6252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161103000372 TX Part A Provider - Home Health Agency 4688980642 Practice locations: San Antonio, TX

Home health agency certification: CCN 457099

Legal name
ALOMEGA HOME HEALTH CARE ,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 20, 1976
Last certification
Jan 17, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 23, 2014 in TX
Enrollment address
4241 Piedras Drive East
Suite 251
San Antonio, TX 78228

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alomega Home Health Care LLCCCN 457099
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 20, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2094292Alomega Home Health Care, LLC4241 Piedras Drive East, Suite 251, San Antonio, TX 78228Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4241 E Piedras Dr
Ste 251
San Antonio, TX 78228
Phone (210) 949-0256

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Alverna McCullough Individual 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Corporate OfficerCeo/Administrator/Owner Mar 1, 2016 100%
W-2 Managing EmployeeOwner/Administrator Mar 1, 2016 100%
Operational/Managerial ControlOwner/Administrator /Ceo Mar 1, 2016 100%

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2016 Change of OwnershipThis provider was the buyer Daniel Jarvis Home Health Agency IncCCN 457099, TX, NPI 1376636365

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1013305077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11304",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458962",
            "telephone_number": "979-704-6252",
            "fax_number": "979-704-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 STATE HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458962",
            "telephone_number": "979-704-6252",
            "fax_number": "979-704-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOMEGA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "ALVERNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-704-6252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.