Organization Active NPI

Nursex Home Health Services, LLC

  • Home Health Agency
  • Odessa, TX
National Provider Identifier
1174890420
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSEX HOME HEALTH SERVICES, LLC
Practice address
5000 Hanover Dr Ste 200
Odessa, TX 79761-2239
Phone
(432) 550-0268
Fax
(432) 550-0193
NPI assigned
Nov 30, 2011
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Mrs. Angelia L Awbrey, LVN
Title
Administrator
Phone
(432) 550-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5000 Hanover Dr Ste 200
Odessa, TX 79761-2239

Mailing address

5000 Hanover Dr Ste 200
Odessa, TX 79761-2239
Phone (432) 550-0268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000068 TX Part A Provider - Home Health Agency 4183886146 Practice locations: Odessa, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174890420. Details of each certification follow.

Home health agency certification: CCN 747783

Legal name
NURSEX HOME HEALTH SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2013
Last certification
Jul 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
5000 Hanover Dr
Ste 200
Odessa, TX 79761-2239

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nursex Home Health Services LLCCCN 747783 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology

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
45D2035157Nursex Home Health Services, LLC5000 Hanover Drive, Ste 200, Odessa, TX 79761Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

2525 N Grandview Ave
Ste 600
Odessa, TX 79761
Phone (432) 550-0268

5000 Hanover Dr
Ste 200
Odessa, TX 79761
Phone (432) 550-0268

5107 Wayland Dr
Ste 2
Odessa, TX 79762
Phone (432) 550-0268

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Doroteo C Flores Individual W-2 Managing EmployeeAlternate Supervising Nurse Jul 9, 2013
Gregory Andis Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 46.49%
Corporate DirectorVice-President Jan 31, 2015
Angelia Awbrey Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 7%
Corporate OfficerSecretary Jan 1, 2019
W-2 Managing EmployeeAdministrator Jan 1, 2019
Gary S Ward Individual 5% Or Greater Direct Ownership Interest Jan 1, 2019 46.5%
Corporate DirectorPresident Sep 12, 2014
W-2 Managing EmployeeAlternate Administrator Dec 15, 2017
Terra N Roberts Individual W-2 Managing EmployeeAlternate Supervising Nurse Dec 1, 2018
Valorie Villarreal Individual W-2 Managing EmployeeSupervising Nurse Dec 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1174890420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HANOVER DR STE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612239",
            "telephone_number": "432-550-0268",
            "fax_number": "432-550-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HANOVER DR STE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612239",
            "telephone_number": "432-550-0268",
            "fax_number": "432-550-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEX HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "AWBREY",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "432-550-0268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.