Organization Active NPI

Young County Home Health Care Inc

  • Home Health Agency
  • Graham, TX
National Provider Identifier
1063575983
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001773 Issued in TX
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
K06770653MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 677065 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 17, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical 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
45D0902419Young County Home Health700 Elm St, Graham, TX 76450Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mickie Dicken Individual 5% Or Greater Direct Ownership Interest Jan 12, 2012 100%
Corporate Director Jan 12, 2012
Harry Talbott Individual 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

Verify at the official NPI Registry.