Active NPI
Health Concepts Home Health Inc.
- Home Health Agency
- Jacksonville, TX
National Provider Identifier
1295799856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009294
- Legal business name
- HEALTH CONCEPTS HOME HEALTH INC.
- Practice address
- 1520 E Rusk St
Jacksonville, TX 75766-5504 - Phone
- (903) 586-8847
- Fax
- (903) 586-8865
- NPI assigned
- Apr 12, 2006
- 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
- Ms. George Ann Walker, REGISTERED NURSE
- Title
- Administrator
- Phone
- (903) 586-8847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009294 | TX | Primary |
Addresses
Primary practice location
1520 E Rusk St
Jacksonville, TX 75766-5504
Mailing address
1520 E Rusk St
Jacksonville, TX 75766-5504
Phone (903) 586-8847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041007000295 | TX | Part A Provider - Home Health Agency | 1557320330 | Practice locations: Jacksonville, TX |
Home health agency certification: CCN 673120
- Legal name
- HEALTH CONCEPTS HOME HEALTH INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 19, 2005
- Last certification
- Mar 2, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 23, 2004 in TX
- Enrollment address
- 1520 E Rusk St
Jacksonville, TX 75766-5504
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Health Concepts Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 19, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1029679 | Health Concepts Home Health, Inc | Certificate of waiver | Aug 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
1520 E Rusk St
Jacksonville, TX 75766
Phone (903) 586-8847
1623 S Jackson St
Jacksonville, TX 75766
Phone (903) 586-8847
Ownership & 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 |
|---|---|---|---|
| Health Concepts Home Health Inc. | Operational/Managerial Control | Apr 15, 2020 | |
| Sonya Walker | 5% Or Greater Direct Ownership Interest | Apr 23, 2004 | 100% |
| General Partnership Interest | Apr 23, 2004 | ||
| Corporate Director | Oct 7, 2004 | ||
| W-2 Managing Employee | Apr 23, 2004 | ||
| George Ann Walker | Corporate Director | Oct 22, 2004 | |
| W-2 Managing Employee | Apr 23, 2004 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1295799856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 E RUSK ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665504",
"telephone_number": "903-586-8847",
"fax_number": "903-586-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 E RUSK ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665504",
"telephone_number": "903-586-8847",
"fax_number": "903-586-8865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CONCEPTS HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "903-586-8847",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.