NPIMap

Organization Active NPI

Your Health Team LLC

  • Home Health Agency
  • Kaufman, TX
National Provider Identifier
1093716433
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008905 Issued in TX
Legal business name
YOUR HEALTH TEAM LLC
Practice address
1512 FM 2727
Kaufman, TX 75142-6525
Phone
(972) 962-8349
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Ms. Donna Clifton-Onstott
Title
Assistant Administrator/Cfo
Phone
(972) 962-8349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008905 TX Primary

Addresses

Primary practice location

1512 FM 2727
Kaufman, TX 75142-6525

Mailing address

1512 FM 2727
Kaufman, TX 75142-6525
Phone (972) 962-8349

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000121 TX Part A Provider - Home Health Agency 5890968218 Practice locations: Kaufman, TX

Home health agency certification: CCN 679496

Legal name
YOUR HEALTH TEAM LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 2, 2004
Last certification
Aug 12, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 8, 2004 in TX
Enrollment address
1512 FM 2727
Kaufman, TX 75142-6525

Care Compare: Home health agency

Medicare Care Compare
Listed as
Your Health Team LLCCCN 679496
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 2, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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
45D1023163Your Health Team1512 FM 2727, Kaufman, TX 75142Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

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
Jean Campbell Individual 5% Or Greater Direct Ownership InterestCeo Nov 1, 2004 51%
W-2 Managing EmployeeAdministrator/Ceo Jan 1, 2004 51%
Donna Onstott Individual 5% Or Greater Direct Ownership InterestCF0 Nov 1, 2004 49%
W-2 Managing EmployeeAsst. Adm/Cfo Jan 1, 2004 49%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1093716433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 FM 2727",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426525",
            "telephone_number": "972-962-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 FM 2727",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426525",
            "telephone_number": "972-962-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "CLIFTON-ONSTOTT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "972-962-8349",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.