Active NPI
Tri-Acecare Home Health Services, Inc.
- Home Health Agency
- Houston, TX
National Provider Identifier
1235341413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRI-ACECARE HOME HEALTH SERVICES, INC.
- Practice address
- 2506A Nantucket Dr
Houston, TX 77057-4802 - Phone
- (281) 999-1943
- NPI assigned
- May 3, 2007
- Last updated
- Aug 22, 2020
- 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
- Yvonne C. Isidro, R.N.
- Title
- Administrator
- Phone
- (281) 999-1943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2506A Nantucket Dr
Houston, TX 77057-4802
Mailing address
2506A Nantucket Dr
Houston, TX 77057-4802
Phone (281) 999-1943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050801001025 | TX | Part A Provider - Home Health Agency | 9830127778 | Practice locations: Houston, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235341413. Details of each certification follow.
Home health agency certification: CCN 459050
- Legal name
- TRI-ACECARE HOME HEALTH SERVICES, INC.
- Doing business as
- TRI ACECARE HOME HEALTH SERVICES IN
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 19, 1996
- Last certification
- Apr 7, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 18, 1996 in TX
- Enrollment address
- 2506A Nantucket Dr
Houston, TX 77057-4802
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Tri Acecare Home Health Services Inc
- Ownership
- Proprietary
- Certified
- Dec 19, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Enrique Labao | W-2 Managing Employee | Dec 7, 2007 | |
| Yvonne Isidro | 5% Or Greater Direct Ownership Interest | Jan 18, 1996 | 50% |
| Corporate Director | Jan 18, 1996 | ||
| Edgardo Isidro | 5% Or Greater Direct Ownership Interest | Jan 18, 1996 | |
| Corporate Director | Jan 18, 1996 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235341413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506A NANTUCKET DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574802",
"telephone_number": "281-999-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506A NANTUCKET DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574802",
"telephone_number": "281-999-1943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-ACECARE HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ISIDRO",
"authorized_official_first_name": "YVONNE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-999-1943",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.