Texas Home Health Group of Fort Worth, LLC
Organization Active NPI Home Health Agency · Fort Worth, TX
NPI 1023548930 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1023548930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- TEXAS HOME HEALTH GROUP OF FORT WORTH, LLC
- Practice address
- 3880 Hulen St Ste 200a
Fort Worth, TX 76107-7256 - Phone
- (817) 796-7160
- Fax
- (817) 549-6537
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP Legal
- Phone
- (224) 221-0465
Owners & managing parties with NPI records 4
Member of 1
Change of ownership 1
Facilities with the same owner 128
Practitioners 2
-
Wendy Carrizales, COTA/L
Affiliated clinicians 56
-
Suma Abraham, M.D.
-
Carlos Bazaldua, M.D.
-
Kara Black, DO
-
Brandon Hunter Cherry, DO, PHD
-
Christine Kay Gavino, D.O.
-
Gerald J Harder, M.D.
-
Tiffany Gillam Harvey, M.D.
-
Chad A Hogan, MD
-
Margaret Cecere Holland, MD, JD
-
Laponna Rae Irvine-Moore, D.O.
-
Robert Warren Israel Jr., M.D.
-
Kelley G Kellogg, DO
-
Dolores K King, MD
Medicare Care Compare: Home health agency
- Listed as
- Accentcare Home Health of Fort Worth
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Apr 5, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2137095 | Texas Home Health Group of Fort Worth, LLC | Certificate of waiver | Sep 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 747526
- Legal name
- TEXAS HOME HEALTH GROUP OF FORT WORTH LLC
- Doing business as
- ACCENTCARE HOME HEALTH OF FORT WORTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 5, 2011
- Last certification
- Dec 18, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 3880 Hulen St
Ste 200a
Fort Worth, TX 76107-7256
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Baylor Health Care System |
5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 18.33% |
| Laura Tortorella |
Corporate Officer |
Dec 14, 2023 | |
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.1% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.5% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.4% |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| THHG-Fort Worth Holding Company LLC |
5% Or Greater Direct Ownership Interest | Aug 14, 2017 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.1% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.4% |
| Dana Davis |
W-2 Managing Employee |
Jan 5, 2022 | |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 6.3% |
| Accentcare Texas Holding Company Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 81.58% |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 11.2% |
| Texas Home Health Group LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 100% |
| Baylor Scott & White Health Enterprises Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 18.24% |
| Accentcare, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 1, 2018 | 81.58% |
| Dena Schwartz-Doty |
Corporate Officer |
Aug 14, 2017 | |
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Aug 14, 2017 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Aug 14, 2017 | Change of Ownership |
Paramount Plus Home Healthcare |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180420000150 | TX | Part a Provider - Home Health Agency | 7113280421 | Practice locations: Fort Worth, TX |
National Provider Directory
Locations
700 Highlander Blvd
Ste 205
Arlington, TX 76015
225 W Mulberry St
Ste A
Denton, TX 76201
3880 Hulen St
Ste 200A
Fort Worth, TX 76107
Phone (817) 796-7160
3809 S General Bruce Dr
Ste 105B
Temple, TX 76502
Phone (254) 218-7070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
3880 Hulen St Ste 200a
Fort Worth, TX 76107-7256
Mailing address
17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Other names
- AccentCare Home Health of Fort Worth
Other providers in Fort Worth, TX
- Texas Health, LLC
- Texas Heart and Vascular Institute PLLC
- Texas Heart Clinic PA
- Texas Heatlh Care, P.L.L.C.
- Texas Home Health
- Texas Home Health Provider, LLC
- Texas Home Health Skilled Services, L.P.
- Texas Home Medical Inc.
- Texas Honor Anesthesia PLLC
- Texas Hormone Experts LLC
All providers in Fort Worth, TX · Home Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.