Active NPI
Young County Home Health Care Inc
- Home Health Agency
- Graham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 001773
- Legal business name
- YOUNG COUNTY HOME HEALTH CARE INC
- Practice address
- 700 Elm St
Graham, TX 76450-3019 - Phone
- (940) 549-4039
- Fax
- (940) 549-9814
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 23, 2013
- 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
- Mr. Harry Lamison Talbott III, RN
- Title
- Administrator
- Phone
- (940) 549-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 001773 | TX | Primary |
Addresses
Primary practice location
700 Elm St
Graham, TX 76450-3019
Mailing address
700 Elm St
Graham, TX 76450-3019
Phone (940) 549-4039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K06770653 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000299 | TX | Part A Provider - Home Health Agency | 1355503673 | Practice locations: Graham, TX; Haskell, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063575983. Details of each certification follow.
Home health agency certification: CCN 677065
- Legal name
- YOUNG COUNTY HOME HEALTH CARE, INC.
- Doing business as
- YOUNG COUNTY HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 17, 1986
- Last certification
- Aug 8, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 19, 1986 in TX
- Enrollment address
- 700 Elm St
Graham, TX 76450-3019
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Young County Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 17, 1986
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical 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 |
|---|---|---|---|
| 45D0902419 | Young County Home Health | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 Elm St
Graham, TX 76450
Phone (940) 549-4039
417 S 1st St
Haskell, TX 79521
Phone (940) 864-5074
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 |
|---|---|---|---|
| Mickie Dicken | 5% Or Greater Direct Ownership Interest | Jan 12, 2012 | 100% |
| Corporate Director | Jan 12, 2012 | ||
| Harry Talbott | Operational/Managerial Control | Jan 12, 2012 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377216000000",
"number": "1063575983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ELM ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503019",
"telephone_number": "940-549-4039",
"fax_number": "940-549-9814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ELM ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503019",
"telephone_number": "940-549-4039",
"fax_number": "940-549-9814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG COUNTY HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2013-08-23",
"status": "A",
"authorized_official_last_name": "TALBOTT",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "LAMISON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "940-549-4039",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "001773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K06770653",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Graham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.