NPIMap

Organization Active NPI

Elite Home Health, PLLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1194307025
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME HEALTH, PLLC
Practice address
4100 E Piedras Dr Ste 245
San Antonio, TX 78228-1426
Phone
(210) 294-0742
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Alyson MassingillNPI 1063241115
Title
Owner/President
Phone
(210) 294-0742

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

4100 E Piedras Dr Ste 245
San Antonio, TX 78228-1426

Mailing address

4100 E Piedras Dr Ste 245
San Antonio, TX 78228-1426
Phone (210) 294-0742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901000210 TX Part A Provider - Home Health Agency 3971909870 Practice locations: San Antonio, TX

Home health agency certification: CCN 748032

Legal name
ELITE HOME HEALTH PLLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 2021
Last certification
Nov 15, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 8, 2021 in TX
Enrollment address
4100 E Piedras Dr
Ste 245
San Antonio, TX 78228-1426

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 748032 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 15, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D2226541Elite Home Health PLLC4100 Piedras Drive East, Suite 245, San Antonio, TX 78228Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

4100 E Piedras Dr
Ste 245
San Antonio, TX 78228
Phone (210) 294-0742

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Alyson Massingill Individual 5% Or Greater Direct Ownership Interest Mar 8, 2021 50%
Corporate DirectorPresident/Admin/Owner Mar 8, 2021 50%
W-2 Managing EmployeePresident/Admin/Owner Mar 8, 2021 50%
Daren Upham Individual 5% Or Greater Direct Ownership Interest Mar 8, 2021 50%
Corporate DirectorCfo/Owner Mar 8, 2021 50%
W-2 Managing EmployeeCfo/Owner Mar 8, 2021 50%

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

Practitioners 1

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

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": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1194307025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR STE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281426",
            "telephone_number": "210-294-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR STE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281426",
            "telephone_number": "210-294-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MASSINGILL",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-294-0742"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.