Active NPI
Nursex Home Health Services, LLC
- Home Health Agency
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 23, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2035157 | Nursex Home Health Services, LLC | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Doroteo C Flores | W-2 Managing Employee | Jul 9, 2013 | |
| Gregory Andis | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 46.49% |
| Corporate Director | Jan 31, 2015 | ||
| Angelia Awbrey | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 7% |
| Corporate Officer | Jan 1, 2019 | ||
| W-2 Managing Employee | Jan 1, 2019 | ||
| Gary S Ward | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 46.5% |
| Corporate Director | Sep 12, 2014 | ||
| W-2 Managing Employee | Dec 15, 2017 | ||
| Terra N Roberts | W-2 Managing Employee | Dec 1, 2018 | |
| Valorie Villarreal | W-2 Managing Employee | 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.
-
- Physical Therapist
- Odessa, TX
- NPI 1811082027
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Odessa, TX
- NPI 1821086729
Home health agency
-
- Internal Medicine Physician
- Odessa, TX
- NPI 1144212440
Home health agency
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
- Nurses Unlimited Inc (AccentCare Home Health and Personal Care of Texas)
- Nurses Unlimited Inc
- Nurses Unlimited Inc
- Nurses Unlimited Inc (AccentCare Home Health and Personal Care Services of Texas)
- Nurses Unlimited Inc
- Ijeoma Oluchi Nwankwo, MBBS
- Macaulay Ezera Nwojo, M.D.
- Raphael Ezera Nwojo, M.D.
- Chisom P Nwoye, MD
- O.T. Garza, M.D, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.