Walls Universal Home Health & Hospice Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

006531 Issued in TX

Legal business name

WALLS UNIVERSAL HOME HEALTH & HOSPICE SERVICES, INC.

Doing business as

Universal Health Services

Practice address

1208 Country Club LN
Fort Worth, TX 76112-2353

Phone

(817) 451-1404

Fax

(817) 451-5029

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Danny Naccarato Jr.

Title

Vice President

Phone

(817) 451-1404

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Universal Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Home health agency certification: CCN 458238

Legal name

WALLS UNIVERSAL HOME HEALTH & HOSPICE SERVICES, INC.

Doing business as

UNIVERAL HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 2, 1994

Last certification

Aug 10, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 25, 1997 in TX

Enrollment address

1208 Country Club Lane
Fort Worth, TX 76112-2353

Hospice certification: CCN 451679

Legal name

WALLS UNIVERSAL HOME HEALTH & HOSPICE SERVICES, INC.

Doing business as

UNIVERSAL HEALTH SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 4, 1997

Last certification

Mar 16, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 25, 1997 in TX

Enrollment address

1208 Country Club Lane
Forth Worth, TX 76112-2353

Listed as

Universal Health ServicesCCN 458238

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 2, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Listed as

Universal Health ServicesCCN 451679

Ownership

For-Profit

Certified

Dec 4, 1997

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

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

• Donald Andrew Langley, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fort Worth, TX
  • NPI 1174718472
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Soroush Behnam, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1710908744

  Home health agency

  Care Compare affiliation
• Pareshkumar M Patel, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1134298581

  Home health agency

  Care Compare affiliation
• Sara Kay Roark, NP

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1710227418

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1205833340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 COUNTRY CLUB LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122353",
            "telephone_number": "817-451-1404",
            "fax_number": "817-451-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 COUNTRY CLUB LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122353",
            "telephone_number": "817-451-1404",
            "fax_number": "817-451-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS UNIVERSAL HOME HEALTH & HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "NACCARATO",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-451-1404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006531",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "006647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023977401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002182000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Universal Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Wallen, MA, LPC
• Charles F. Waller, CRNA
• Katelyn D'Ann Walley, PTA
• Christine Wallin, RN
• Michele L Wallis, RN
• Amanda Walls, APRN-FNP
• Kathy Diane Walls, RN, BSN
• Paige Elizabeth Walls, PT, DPT
• Sheena Walraven
• Walsh Chirosport PLLC

• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.