NPIMap

Organization Active NPI

US Carenet Holdings, LLC

  • Home Health Agency
  • Lufkin, TX
National Provider Identifier
1295713709
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
US CARENET HOLDINGS, LLC
Practice address
208 Gaslight Blvd Ste D
Lufkin, TX 75904-3166
Phone
(936) 465-9181
Fax
(936) 465-9787
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Angie Hathorn
Title
Ceo
Phone
(936) 465-9181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 016287 TX
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

208 Gaslight Blvd Ste D
Lufkin, TX 75904-3166

Mailing address

208 Gaslight Blvd Ste D
Lufkin, TX 75904-3166
Phone (936) 465-9181

Other identifiers 1

IdentifierTypeStateIssuer
23733101MedicaidTX

Other names 1

  • Dedicated Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180329002042 TX Part A Provider - Home Health Agency 2365733789 Practice locations: Lufkin, TX

Home health agency certification: CCN 457702

Legal name
US CARENET HOLDINGS, LLC
Doing business as
DEDICATED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 1984
Last certification
Aug 2, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
208 Gaslight Blvd
Ste D
Lufkin, TX 75904-3166

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dedicated Home HealthCCN 457702
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 12, 1984
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
Tax ID family
US Carenet Holdings LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 E Cervantes St
Ste B
Pensacola, FL 32501
Phone (850) 298-8835

208 Gaslight Blvd
Ste D
Lufkin, TX 75904
Phone (936) 465-9181

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Johnathan Williams Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2023 8.33%
Shin Xu Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 8.33%
Melissa Kay Berry Individual W-2 Managing EmployeeAdministrator Sep 13, 2021
Dedicated Home Health PLLC Organization, Lufkin, TX LLC 5% Or Greater Direct Ownership Interest Sep 13, 2021 100%
Peter W Ross Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2021 8.33%
Angela Hathorn Individual Corporate OfficerCeo Sep 13, 2021
Jason D Carter Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2021 16.67%
George Lee Deloach Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2021 16.67%
Robert M Lindsey Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2021 16.67%
Kristopher Blake McCall Individual 5% Or Greater Indirect Ownership Interest Sep 13, 2021 16.67%
James a Hurst Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2025 8.33%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2018 Change of OwnershipThis provider was the buyer Health at HomeCCN 457702, TX, NPI 1295713709
Jan 1, 2018 Change of OwnershipThis provider was the seller Dedicated Home HealthCCN 457702, TX, NPI 1295713709

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 10

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1295713709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD STE D",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-465-9181",
            "fax_number": "936-465-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD STE D",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-465-9181",
            "fax_number": "936-465-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CARENET HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HATHORN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-465-9181"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016287",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23733101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.