NPIMap

Organization Active NPI

Outreach Medical Home Health Agency

  • Home Health Agency
  • Cedar Hill, TX
National Provider Identifier
1073802849
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012286 Issued in TX
Legal business name
OUTREACH MEDICAL HOME HEALTH AGENCY
Doing business as
Outreach Medical Home Health Agency
Practice address
200 Bryan PL
Cedar Hill, TX 75104-1768
Phone
(972) 293-3500
Fax
(972) 293-3514
NPI assigned
Apr 1, 2011
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mrs. Kay S. Carrington, RNNPI 1215252200
Title
Don/Owner
Phone
(972) 293-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X 012286 TX Primary

Addresses

Primary practice location

200 Bryan PL
Cedar Hill, TX 75104-1768

Mailing address

200 Bryan PL
Cedar Hill, TX 75104-1768
Phone (972) 293-3500

Other identifiers 1

IdentifierTypeStateIssuer
1215252200Other1215252200

Other names 1

  • Outreach Medical Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000390 TX Part A Provider - Home Health Agency 9739372947 1 other NPI on this enrollment
Practice locations: Cedar Hill, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073802849. Details of each certification follow.

Home health agency certification: CCN 458288

Legal name
KAY CARRINGTON
Doing business as
OUTREACH MEDICAL HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 5, 1995
Last certification
Feb 14, 2019
Ownership / control type
Proprietary
Organization structure
Sole ProprietorProprietary
Enrollment address
200 Bryan PL
Cedar Hill, TX 75104-2806

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Outreach Medical Home Health AgencyCCN 458288 · All quality measures
Ownership
Proprietary
Certified
Jan 5, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

511 Grand Teton St
Cedar Hill, TX 75104
Phone (972) 293-3500

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.

NameRoleSinceShare
Kay S Carrington Individual 5% Or Greater Direct Ownership Interest Apr 5, 2011
Corporate Director Aug 30, 2010
Operational/Managerial Control Apr 5, 2011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1073802849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRYAN PL",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041768",
            "telephone_number": "972-293-3500",
            "fax_number": "972-293-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRYAN PL",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041768",
            "telephone_number": "972-293-3500",
            "fax_number": "972-293-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MEDICAL HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DON/OWNER",
        "authorized_official_telephone_number": "972-293-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1215252200",
            "identifier": "1215252200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Medical Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Outreach Medical Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.