Active NPI
Alomega Home Health Care LLC
- Home Health Agency
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 20, 1976
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2094292 | Alomega Home Health Care, LLC | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alverna McCullough | 5% Or Greater Direct Ownership Interest | Mar 1, 2016 | 100% |
| Corporate Officer | Mar 1, 2016 | 100% | |
| W-2 Managing Employee | Mar 1, 2016 | 100% | |
| Operational/Managerial Control | Mar 1, 2016 | 100% |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2016 | Change of Ownership | Daniel Jarvis Home Health Agency Inc |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Bryan, TX
- NPI 1376636365
Acquired from, 2016-03-01
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
- Allen'S Nutech Inc.
- Allergy Associates of Brazos Valley
- Allergy Associates of the Brazos Valley
- Allied Pediatricians of Texas, PLLC
- Kelsey Alo, PA-C
- Alomega Home Health Care-Sa,LLC
- Alomega Hospice Services LLC
- Nicole Alonzo-Hernadez, PHARMACY INTERN
- Alpha Chiro Sports, LLC
- Alpha Sports McKinney, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.