Organization Active NPI

Reset Home Health Agency LLC

  • Home Health Agency
  • McAllen, TX
National Provider Identifier
1124794714
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESET HOME HEALTH AGENCY LLC
Practice address
801 E Fern Ave Ste 164
McAllen, TX 78501-1526
Phone
(956) 627-5535
Fax
(956) 627-5525
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Chukwunonso Jideofor AzikiweNPI 1598074932
Title
Administrator
Phone
(347) 527-0494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

801 E Fern Ave Ste 164
McAllen, TX 78501-1526

Mailing address

10922 N 29TH LN
McAllen, TX 78504-6401
Phone (347) 527-0494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220929003850 TX Part A Provider - Home Health Agency 9436535358 Practice locations: McAllen, TX

Home health agency certification: CCN 748089

Legal name
RESET HOME HEALTH AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2023
Last certification
Jan 6, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in TX
Enrollment address
801 E Fern Ave
Ste 164
McAllen, TX 78501-1526

Care Compare: Home health agency

Medicare Care Compare
Listed as
Reset Home Health Agency LLCCCN 748089 · All quality measures
Ownership
Proprietary
Certified
Jan 23, 2023
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
45D2239069Reset Home Health Agency, LLC801 E Fern Ave SE 164, McAllen, TX 78501Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

3307 N McColl Rd
Ste I
McAllen, TX 78501

801 E Fern Ave
Ste 164
McAllen, TX 78501
Phone (956) 627-5535

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Macarena Adames Individual 5% Or Greater Direct Ownership InterestPresident/Admin Jul 28, 2021 33.3%
Corporate DirectorPresident/Admin Jul 28, 2021 33.3%
W-2 Managing EmployeePresident/Admin Jul 28, 2021 33.3%
Angelica Marquez Individual 5% Or Greater Direct Ownership Interest Jul 28, 2021 33.3%
Corporate DirectorDon Jul 28, 2021 33.3%
Reset Home Health Agency LLC Organization, McAllen, TX LLC 5% Or Greater Direct Ownership Interest Jul 28, 2021 33.4%
Chukwunonso Azikiwe Individual 5% Or Greater Direct Ownership InterestVice President/Alt Admin Jul 28, 2021 33.4%
Corporate DirectorVice President/Alt Admin Jul 28, 2021 33.4%
W-2 Managing EmployeeVice President/Alt Admin Jul 28, 2021 33.4%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1124794714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 N 29TH LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046401",
            "telephone_number": "347-527-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E FERN AVE STE 164",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011526",
            "telephone_number": "956-627-5535",
            "fax_number": "956-627-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AZIKIWE",
        "authorized_official_first_name": "CHUKWUNONSO",
        "authorized_official_middle_name": "JIDEOFOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-527-0494"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.