Individual provider Active NPI

Kay Carrington

  • Administrator Registered Nurse
  • Cedar Hill, TX
National Provider Identifier
1215252200
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
012286 Issued in TX
Practice address
200 Bryan PL
Cedar Hill, TX 75104-1768
Phone
(972) 293-3500
NPI assigned
Apr 1, 2010
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 012286 TX Primary

Addresses

Primary practice location

200 Bryan PL
Cedar Hill, TX 75104-1768

Mailing address

P.O. Box 4346
Cedar Hill, TX 75106
Phone (972) 293-3500

Other names 1

  • Kay Carrington Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000390 TX Part A Provider - Home Health Agency 9739372947 1 other NPI on this enrollment
Practice locations: Cedar Hill, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215252200. Details of each certification follow.

Home health agency certification: CCN 458288

Legal name
KAY CARRINGTON
Doing business as
OUTREACH MEDICAL HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 5, 1995
Last certification
Feb 14, 2019
Ownership / control type
Proprietary
Organization structure
Sole ProprietorProprietary
Enrollment address
200 Bryan PL
Cedar Hill, TX 75104-2806

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Outreach Medical Home Health AgencyCCN 458288 · All quality measures
Ownership
Proprietary
Certified
Jan 5, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Medical Home Health Agency Current Accepting new patients

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Kay S Carrington Individual 5% Or Greater Direct Ownership Interest Apr 5, 2011
Corporate Director Aug 30, 2010
Operational/Managerial Control Apr 5, 2011

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1215252200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4346",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "75106",
            "telephone_number": "972-293-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BRYAN PL",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041768",
            "telephone_number": "972-293-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "012286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "CARRINGTON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.