Integracare Home Health Services Inc.

Organization Active NPI Home Health Agency · Victoria, TX

NPI 1164430286 · NPPES record last updated Aug 4, 2026

Key facts

NPI
1164430286
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
011735 (TX)
Legal business name
INTEGRACARE HOME HEALTH SERVICES INC.
Practice address
1501 E Mockingbird LN Ste 301a
Victoria, TX 77904-2139
Phone
(361) 576-2179
Fax
(361) 578-4972
NPI assigned
Aug 4, 2006
Organization subpart
No

Authorized official

Name
Sean Patrick Turner
Title
VP Revenue Cycle
Phone
(810) 360-3133

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Home health agency

Listed as
Centerwell Home Health CCN 457126
Overall star rating
★★★★★ 4.5 of 5
Ownership
Proprietary
Certified
May 22, 1980
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0970379Integracare Home Health Services, Inc
1501 East Mockingbird Land, Suite 301a, Victoria, TX 77904
Certificate of waiverFeb 10, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Home health agency certification: CCN 457126

Legal name
INTEGRACARE HOME HEALTH SERVICES INC.
Doing business as
CENTERWELL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 1980
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Jan 10, 2000 in TX
Enrollment address
1501 E Mockingbird LN
Ste 301a
Victoria, TX 77904-2139

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Tanya R Jones
Individual
W-2 Managing Employee
Ad;
Sep 20, 2024
Daniel K Feld
Individual
Corporate Officer Apr 1, 2024
Kentucky Homecare Parent Inc.
Organization · Louisville, KY
Corporation, Holding company, For-profit
5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Robert M Marcoux
Individual
Corporate Officer Apr 1, 2024
John W Nichols
Individual
Corporate Officer
Authorized Signatory, Lic & Cert
Mar 1, 2022
Kentucky Homecare Holdings, Inc.
Organization · Louisville, KY
Corporation, Holding company, For-profit
5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Humana Inc
Organization · Louisville, KY
Corporation, For-profit
5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
PF Development 9 LLC
Organization · Louisville, KY
LLC, Holding company, For-profit
5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Douglas a Edwards
Individual
Corporate Officer
SVP Workplace Experience
Mar 1, 2022
Centerwell Health Services Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit, Chain home office
5% Or Greater Indirect Ownership Interest Oct 18, 2013 100%
Integracare Holdings Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit
5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Joseph M Ruschell
Individual
Corporate Officer
Avp, Asst Gen CNSL, Corp Secreta
Mar 1, 2022
Corporate Director
Board Member
Mar 1, 2022
Aberdeen Holdings Inc
Organization · Louisville, KY
Corporation, Holding company, For-profit
5% Or Greater Direct Ownership Interest Jul 1, 2007 100%
Jaclyn Michelle Murphree
Individual
Corporate Officer Jan 11, 2025

Change-of-ownership history

DateEventCounterparty
Mar 1, 2022 Change of Ownership
This provider was the buyer
Kindred at Home
CCN 457126 · TX · NPI 1164430286
Mar 1, 2022 Change of Ownership
This provider was the seller
Centerwell Home Health
CCN 457126 · TX · NPI 1164430286

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220604000356 TX Part a Provider - Home Health Agency 1951489012 Practice locations: Victoria, TX

National Provider Directory

Tax ID family
Centerwell Home Health (7 organizations share this tax ID)

Locations

1501 E Mockingbird Ln
Ste 301
Victoria, TX 77904
Phone (361) 576-2179

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011735 TX Yes

Addresses

Primary practice location

1501 E Mockingbird LN Ste 301a
Victoria, TX 77904-2139

Mailing address

PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2206

Other identifiers

IdentifierTypeStateIssuer
12132901MedicaidTX
23531901MedicaidTX
HH9554OtherBCBS

Other names

  • CenterWell Home Health Doing business as

Other providers in Victoria, TX

All providers in Victoria, TX · Home Health Agency in Texas

Sources for this page

Verify at the official NPI Registry.