Cosmic Home Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COSMIC HOME HEALTHCARE INC.

Doing business as

New Life Home Healthcare

Practice address

204 Corky Boyd Ave
Wills Point, TX 75169-2811

Phone

(972) 248-7848

Fax

(972) 474-9115

NPI assigned

Nov 25, 2008

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Jeffrey

Title

Executive Director

Phone

(903) 703-9622

Specialties & licenses 1

Addresses

Other names 1

• New Life Home Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063667517. Details of each certification follow.

• CCN 747339 Home health agency · Active · Details

Home health agency certification: CCN 747339

Legal name

COSMIC HOME HEALTHCARE INC.

Doing business as

NEW LIFE HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 20, 2010

Last certification

Mar 21, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

36549 State Highway 64
Ste 102
Wills Point, TX 75169-9325

Listed as

New Life Home HealthcareCCN 747339 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Apr 20, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Member organizations 1

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

• Purity Home Healthcare Inc.

  • Home Health Agency
  • Plano, TX
  • NPI 1225348600

  Member Of

  NPD member

Locations

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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Purity Home Healthcare Inc.

  • Home Health Agency
  • Plano, TX
  • NPI 1225348600

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charles C Risinger, M.D.

  • Family Medicine Physician
  • Terrell, TX
  • NPI 1386665982

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1063667517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692811",
            "telephone_number": "972-248-7848",
            "fax_number": "972-474-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692811",
            "telephone_number": "972-248-7848",
            "fax_number": "972-474-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMIC HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-703-9622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Life Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookshire Grocery Company (Brookshire Pharmacy)
• Sheila Kaye Brown, LM, CPM
• City of Wills Point
• City of Wills Point EMS
• Elizabeth Ann Collins-Lee, LPC
• Country Haven Assisted Living, Inc.
• Crestwood SCC LLC (Free State Crestwood)
• Crestwood SCC LLC (Free State Crestwood)
• Donna Kay Daniels, FNP-C
• Jessica Debaun

• Home Health Agency in Wills Point, TX
• Providers in Wills Point, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.

Verify at the official NPI Registry.