NPIMap

Organization Active NPI

Benchmark Home Health, LLC

  • Home Health Agency
  • Montgomery, TX
National Provider Identifier
1356067029
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BENCHMARK HOME HEALTH, LLC
Practice address
780 Clepper Ste 100
Montgomery, TX 77356-3130
Phone
(936) 274-3787
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Zachary Chaumont, PT, DPT
Title
Ceo
Phone
(936) 274-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

780 Clepper Ste 100
Montgomery, TX 77356-3130

Mailing address

780 Clepper Ste 100
Montgomery, TX 77356-3130
Phone (936) 274-3787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308002429 TX Part A Provider - Home Health Agency 3476926619 Practice locations: Montgomery, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356067029. Details of each certification follow.

Home health agency certification: CCN 679340

Legal name
BENCHMARK HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 11, 2003
Last certification
Feb 15, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
780 Clepper
Ste 100
Montgomery, TX 77356-3130

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benchmark Home Health, LLCCCN 679340 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 11, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0868914Benchmark Home Health, LLC780 Clepper Dr, Suite 100, Montgomery, TX 77356Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sarah Jessup Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2022 1%
Corporate OfficerVice President Oct 1, 2022
Operational/Managerial ControlAlternate Administrator Oct 1, 2022
Zachary Chaumont Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2022 99%
Corporate OfficerCeo Oct 1, 2022
Operational/Managerial ControlAdministrator Oct 1, 2022

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2022 Change of OwnershipThis provider was the buyer Home Health Care of Huntsville, Co.CCN 679340, TX, NPI 1730105438

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1356067029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CLEPPER STE 100",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563130",
            "telephone_number": "936-274-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CLEPPER STE 100",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563130",
            "telephone_number": "936-274-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "CHAUMONT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-274-3787",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.