Organization Active NPI

Laurent Home Health Agency Inc.

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1114088572
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAURENT HOME HEALTH AGENCY INC.
Practice address
1201 N Watson Rd
Suite 292
Arlington, TX 76006-6190
Phone
(817) 633-0310
NPI assigned
Dec 12, 2006
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Rotimi Williams Ajayi
Title
President
Phone
(817) 999-8821

Specialties & licenses 1

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

Addresses

Primary practice location

1201 N Watson Rd
Suite 292
Arlington, TX 76006-6190

Mailing address

1201 N Watson Rd
Suite 292
Arlington, TX 76006
Phone (817) 633-0310

Other identifiers 1

IdentifierTypeStateIssuer
011524OtherTXLICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070917000017 TX Part A Provider - Home Health Agency 5698869089 Practice locations: Arlington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114088572. Details of each certification follow.

Home health agency certification: CCN 747367

Legal name
LAURENT HOME HEALTH AGENCY INC.
Doing business as
LAURENT HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 2, 2010
Last certification
Jan 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 14, 2006 in TX
Enrollment address
1201 N Watson Rd
Suite 292
Arlington, TX 76006-6190
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Laurent Home HealthCCN 747367 · All quality measures
Ownership
Proprietary
Certified
Apr 2, 2010
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

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
Carewell Health Services Inc Organization, Arlington, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2018 100%
Mitzi Wright Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2018 100%
Operational/Managerial ControlAdministrator Dec 31, 2018 100%

Practitioners & affiliated clinicians

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1114088572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "SUITE 292",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76006",
            "telephone_number": "817-633-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "SUITE 292",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066190",
            "telephone_number": "817-633-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENT HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "ROTIMI",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-999-8821"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "011524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.