Organization Active NPI

Aiding Home Health, LLC

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1164573184
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AIDING HOME HEALTH, LLC
Practice address
1101 E Southeast Loop 323 Ste 110
Tyler, TX 75701-9647
Phone
(903) 509-3374
Fax
(903) 509-3380
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Casey Allen Wilson
Title
VP
Phone
(936) 856-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1101 E Southeast Loop 323 Ste 110
Tyler, TX 75701-9647

Mailing address

3033 W President George Bush Hwy Ste 150
Plano, TX 75075-5752
Phone (972) 390-7733

Other names 1

  • Reliant at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000011 TX Part A Provider - Home Health Agency 6002914926 Practice locations: Tyler, TX

Home health agency certification: CCN 673165

Legal name
AIDING HOME HEALTH, LLC
Doing business as
RELIANT AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2005
Last certification
Feb 26, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1101 E Southeast Loop 323
Ste 110
Tyler, TX 75701-9647

Care Compare: Home health agency

Medicare Care Compare
Listed as
Reliant at HomeCCN 673165
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 24, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D1026377Aiding Home Health LLC1101 E Southeast Loop 323, Ste 110, Tyler, TX 75701Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Locations

1612 Summit Ave
Ste 420
Ft Worth, TX 76102
Phone (817) 348-8800

1501 Summit Ave
Ste 200
Ft Worth, TX 76102
Phone (817) 348-8800

1101 E Southeast Loop 323
Ste 110
Tyler, TX 75701
Phone (214) 667-8040

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
John Boaz Individual 5% Or Greater Indirect Ownership Interest Nov 13, 2020 10%
Bridgeway Holdings, LLC Organization, Ft Worth, TX LLC 5% Or Greater Direct Ownership Interest Aug 4, 2016 100%
Darren Sapp Individual Corporate OfficerVP of Bus Admin Nov 13, 2020
Merit Mezzanine Fund VI LP Organization, Plano, TX 5% Or Greater Indirect Ownership Interest Nov 13, 2020 75.3%
Claremont Healthcare Holdings, LLC Organization, Plano, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 13, 2020 8%
Reliant Home Health LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Nov 13, 2020 100%
Reliant at Home Midco LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Nov 13, 2020 100%
Matthew McMurphy Individual Corporate OfficerPresident and Ceo Nov 13, 2020
Reliant at Home Inc Organization, Plano, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 13, 2020 100%
Deborah Ellis Individual W-2 Managing EmployeeAdministrator Aug 4, 2016
Casey Wilson Individual Corporate OfficerVP of Hospice Nov 13, 2020
Rajesh Singh Individual Corporate OfficerVP Nov 13, 2020

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1164573184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755752",
            "telephone_number": "972-390-7733",
            "fax_number": "972-390-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SOUTHEAST LOOP 323 STE 110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019647",
            "telephone_number": "903-509-3374",
            "fax_number": "903-509-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDING HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "936-856-6888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.