NPIMap

Organization Active NPI

Paradigm Rehab & Nursing, LLC

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1376540047
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009541 Issued in TX
Legal business name
PARADIGM REHAB & NURSING, LLC
Practice address
2269 W Cumberland Rd Ste 100
Tyler, TX 75703-5482
Phone
(903) 581-1223
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Daniel Robert Willson
Title
President
Phone
(903) 581-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009541 TX Primary

Addresses

Primary practice location

2269 W Cumberland Rd Ste 100
Tyler, TX 75703-5482

Mailing address

PO Box 130010
Tyler, TX 75713-0010
Phone (903) 581-1223

Other practice location 1

911 W Loop 281 Ste 116
Longview, TX 75604-2944
Phone (430) 810-8060

Other identifiers 1

IdentifierTypeStateIssuer
009541OtherTXSTATE HHA LICENSE NUMBER

Other names 2

  • Paradigm Home Health Doing business as
  • Paradigm HomeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000050 TX Part A Provider - Home Health Agency 6204885973 Practice locations: Longview, TX; Tyler, TX

Home health agency certification: CCN 457833

Legal name
PARADIGM REHAB & NURSING, LP
Doing business as
PARADIGM HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 24, 2005
Last certification
Sep 11, 2020
Ownership / control type
Proprietary
Organization structure
PartnershipProprietary
Incorporated
Nov 4, 2004 in TX
Enrollment address
2269 W Cumberland Rd
Ste 100
Tyler, TX 75703-5482

Care Compare: Home health agency

Medicare Care Compare
Listed as
Paradigm HomecareCCN 457833
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 24, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D1034030Paradigm Rehab & Nursing, LP2269 W Cumberland Rd Ste 100, Tyler, TX 75703Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory

Locations

1550 W Rosedale St
Ste 810
Fort Worth, TX 76104
Phone (817) 348-9375

911 W Loop 281
Ste 116
Longview, TX 75604
Phone (430) 810-8060

1909 Rickety Ln
Tyler, TX 75703
Phone (903) 561-1840

2269 W Cumberland Rd
Ste 100
Tyler, TX 75703
Phone (903) 581-1223

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Miranda Reece Individual W-2 Managing EmployeeVice President of Operations Jul 6, 2022 25%
Daniel Robert Willson Individual General Partnership InterestPresident Nov 4, 2004 100%
Limited Partnership InterestPresident of GP & Ceo Nov 4, 2004 100%
Corporate DirectorPresident of GP & Ceo Nov 4, 2004 100%
W-2 Managing EmployeePresident of GP & Ceo Nov 4, 2004 75%
MSW Enterprises, LLC Organization, Tyler, TX LLC General Partnership Interest May 24, 2005 1%
Courtney Diane Brooks Individual W-2 Managing EmployeeAdministrator Jan 1, 2022 25%
Paradigm Health, LLC Organization, Tyler, TX LLC Limited Partnership Interest May 24, 2005

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paradigm Home HealthSan Angelo, TX, CCN 747233 Home health agency Operational/Managerial Control (100%) Nov 30, 2021
Paradigm Home HealthPlano, TX, CCN 747818 Home health agency Operational/Managerial Control (100%) Jun 27, 2011
Paradigm Home HealthWhitney, TX, CCN 747950 Home health agency Operational/Managerial Control (100%) Apr 27, 2026

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1376540047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130010",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130010",
            "telephone_number": "903-581-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 W CUMBERLAND RD STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035482",
            "telephone_number": "903-581-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Loop 281 Ste 116",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042944",
            "country_code": "US",
            "telephone_number": "430-810-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADIGM REHAB & NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-581-1223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HHA LICENSE NUMBER",
            "identifier": "009541",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradigm HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradigm HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.