Organization Active NPI

Kinesis Home Health Care LLC

  • Home Health Agency
  • Round Rock, TX
National Provider Identifier
1104389477
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINESIS HOME HEALTH CARE LLC
Practice address
1000 Heritage Center Cir # 160
Round Rock, TX 78664-4463
Phone
(512) 551-9159
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Aderinola Ogundimu
Title
Owner/Director
Phone
(469) 569-9223

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1000 Heritage Center Cir # 160
Round Rock, TX 78664-4463

Mailing address

1000 Heritage Center Cir Ste 160
Round Rock, TX 78664-4463
Phone (512) 551-9159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219001083 TX Part A Provider - Home Health Agency 6002240314 Practice locations: Round Rock, TX

Home health agency certification: CCN 747985

Legal name
KINESIS HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2020
Last certification
Mar 16, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1000 Heritage Center Cir
Ste 160
Round Rock, TX 78664-4463

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kinesis Home Health Care LLCCCN 747985
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D2174891Kinesis Home Health Care LLC1000 Heritage Center Circle # 160, Round Rock, TX 78664Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

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
Aderinola Ogundimu Individual 5% Or Greater Direct Ownership InterestOwner Dec 3, 2024 100%
Corporate OfficerCeo Dec 3, 2024 100%
Corporate DirectorDirector Dec 3, 2024
W-2 Managing EmployeeAd; Apr 28, 2026 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1104389477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HERITAGE CENTER CIR STE 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644463",
            "telephone_number": "512-551-9159",
            "fax_number": "855-855-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HERITAGE CENTER CIR # 160",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644463",
            "telephone_number": "512-551-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "OGUNDIMU",
        "authorized_official_first_name": "ADERINOLA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "469-569-9223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.