West Texas Home Health, Inc
Organization Active NPI Community Based Hospice Care Agency · Wellington, TX
NPI 1104256346 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1104256346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 013610 (TX)
- Legal business name
- WEST TEXAS HOME HEALTH, INC
- Practice address
- 1613 Amarillo St
Wellington, TX 79095-4105 - Phone
- (806) 447-2541
- NPI assigned
- Nov 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Donald Freeman
- Title
- Owner
- Phone
- (405) 878-0202
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Facilities with the same owner 35
Affiliated clinicians 1
-
Wesley Scott Nickens, M.D.
Medicare Care Compare: Hospice
- Listed as
- Bluebonnet Home Health & Hospice Company
- Ownership
- For-Profit
- Certified
- Mar 10, 2015
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN 741580
- Legal name
- WEST TEXAS HOME HEALTH, INC.
- Doing business as
- BLUEBONNET HOME HEALTH AND HOSPICE COMPANY
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 10, 2015
- Last certification
- May 17, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 10, 2005 in OK
- Enrollment address
- 1613 Amarillo St
Wellington, TX 79095-4105
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Donald a Freeman |
5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 100% |
| Corporate Officer | Nov 1, 2013 | ||
| Operational/Managerial Control | Nov 1, 2013 | ||
| Penny R Phillips |
W-2 Managing Employee | Jan 5, 2007 | |
| Preferred Management Corporation |
Operational/Managerial Control | Nov 1, 2013 | |
| Luke Campbell |
Corporate Officer |
Feb 1, 2025 | |
| Jared Chanski |
Corporate Officer |
Jan 1, 2026 | |
| Josh Tucker |
Corporate Officer |
Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140127000356 | TX | Part a Provider - Hospice | 0840218038 | Practice locations: Wellington, TX |
National Provider Directory
- Tax ID family
- Bluebonnet Home Health Hospice
Locations
304 E 11th St
Friona, TX 79035
Phone (806) 247-0057
807 West Ave
Wellington, TX 79095
Phone (806) 447-2541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 013610 | TX | Yes |
Addresses
Primary practice location
1613 Amarillo St
Wellington, TX 79095-4105
Mailing address
120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007
Phone (405) 878-0202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013610 | Other | TX | TEXAS LICENSE |
Other names
- Bluebonnet Home Health & Hospice
Other providers in Wellington, TX
- Holly Rae Statham
- Wellington Care Center Inc.
- Wellington EMS, Inc.
- Wellington I Enterprises, LLC
- Wellington Independent School District
- West Texas Home Health, Inc.
All providers in Wellington, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.