Active NPI
Core Home Health Agency LLC
Doing business as Specialized Home Care
- Home Health Agency
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CORE HOME HEALTH AGENCY LLC
- Doing business as
- Specialized Home Care
- Practice address
- 1861 N Rock Rd Ste 380
Wichita, KS 67206-1288 - Phone
- (316) 941-9698
- Fax
- (316) 941-9642
- NPI assigned
- Sep 1, 2021
- Last updated
- Mar 16, 2023
- Organization subpart
- Yes
- Parent organization
- CORE HOME HEALTH AGENCY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bo Thomas
- Title
- Director of Operations
- Phone
- (816) 795-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1861 N Rock Rd Ste 380
Wichita, KS 67206-1288
Mailing address
2311 S Redwood Ave
Independence, MO 64057-2405
Phone (816) 795-7990
Other practice location 1
1223 N Rock Road
Building i, Suite 100
Wichita, KS 67206
Phone (816) 795-7990
Other names 1
- Specialized Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210909000196 | KS | Part A Provider - Home Health Agency | 7719100759 | Practice locations: Wichita, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1194493569. Details of each certification follow.
Home health agency certification: CCN 178111
- Legal name
- CORE HOME HEALTH AGENCY LLC
- Doing business as
- SPECIALIZED HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 16, 2017
- Last certification
- Jan 16, 2017
- Ownership / control type
- Non-Profit
- Organization structure
- LLC
- Incorporated
- Sep 30, 2013 in MO
- Enrollment address
- 1861 N Rock Rd
Ste 380
Wichita, KS 67206-1288
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Specialized Home Care
- Home Health Agency
- Leawood, KS
- NPI 1427691849
7719100759
-
dba Specialized Home Care
- Home Health Agency
- Independence, MO
- NPI 1427478213
7719100759
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Specialized Home Care
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jan 16, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Specialized Homecare LLC
- Part of
- Specialized Homecare LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Liberty, MO
- NPI 1679903405
Locations
4801 W 110th St
Ste 110
Overland Park, KS 66211
Phone (816) 795-7990
1223 N Rock Rd
Bldg I
Wichita, KS 67206
Phone (316) 941-9698
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Bo Thomas | W-2 Managing Employee | Aug 14, 2024 | |
| Bpea VI LP | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 16.3% |
| Encore Investment Group LLC | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 9.34% |
| Jason Brett Growe | Corporate Officer | Aug 14, 2024 | |
| Operational/Managerial Control | Aug 14, 2024 | ||
| Livewell Topco Inc. | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 100% |
| Camino Partners Ventures LLC | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 40.67% |
| Encore Partners Home Health LP | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 91.6% |
| Livewell Partners Ultimate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Aug 14, 2024 | 100% |
| Livewell Partners Holdings Inc | 5% Or Greater Direct Ownership Interest | Aug 14, 2024 | 100% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Specialized Home Care & Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 17, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1801489158
5% Or Greater Direct Ownership Interest
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1801489158
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
dba Specialized Home Care
- Home Health Agency
- Leawood, KS
- NPI 1427691849
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
dba Empower Home Health Services
- Home Health Agency
- West Dundee, IL
- NPI 1023803228
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1811432180
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
dba Specialized Home Care
- Home Health Agency
- Independence, MO
- NPI 1427478213
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
- Home Health Agency
- Eastpointe, MI
- NPI 1134128291
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
- Home Health Agency
- Dayton, OH
- NPI 1902170764
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
- Home Health Agency
- Bingham Farms, MI
- NPI 1609896208
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
-
- Community Based Hospice Care Agency
- Bingham Farms, MI
- NPI 1568086056
Bpea VI LP, Camino Partners Ventures LLC, Encore Investment Group LLC, Encore Partners Home Health LP, Livewell Partners Holdings Inc, Livewell Partners Ultimate Holdings, LLC, Livewell Topco Inc.
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2021 | Change of Ownership | All Saints Health Care, LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Leawood, KS
- NPI 1053745018
Affiliated clinicians 85
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1982654638
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1194493569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 S REDWOOD AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572405",
"telephone_number": "816-795-7990",
"fax_number": "816-795-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 N ROCK RD STE 380",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061288",
"telephone_number": "316-941-9698",
"fax_number": "316-941-9642"
}
],
"practiceLocations": [
{
"address_1": "1223 N Rock Road",
"address_2": "Building i, Suite 100",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "67206",
"country_code": "US",
"telephone_number": "816-795-7990",
"fax_number": "816-795-7993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORE HOME HEALTH AGENCY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORE HOME HEALTH AGENCY LLC",
"enumeration_date": "2021-09-01",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "BO",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "816-795-7990"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialized Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Specialized Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.