Organization Active NPI

Reliant Home Health of Fort Worth LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1396252573
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RELIANT HOME HEALTH OF FORT WORTH LLC
Practice address
3880 Hulen St Ste 670
Fort Worth, TX 76107-7274
Phone
(817) 377-0889
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Darren Lowell Sapp
Title
VP
Phone
(972) 390-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3880 Hulen St Ste 670
Fort Worth, TX 76107-7274

Mailing address

3033 W President George Bush Hwy Ste 150
Plano, TX 75075-5752
Phone (972) 390-7733

Other names 1

  • Reliant at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180629002139 TX Part A Provider - Home Health Agency 2668728841 Practice locations: Fort Worth, TX

Home health agency certification: CCN 673171

Legal name
RELIANT HOME HEALTH OF FORT WORTH LLC
Doing business as
RELIANT AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2005
Last certification
Jun 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 8, 2018 in TX
Enrollment address
3880 Hulen St
Ste 670
Fort Worth, TX 76107-7274

Care Compare: Home health agency

Medicare Care Compare
Listed as
Reliant at HomeCCN 673171
Ownership
Proprietary
Certified
Apr 1, 2005
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

Locations

3600 Hulen St
Ste D2
Ft Worth, TX 76107
Phone (214) 667-8040

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
John Boaz Individual 5% Or Greater Indirect Ownership Interest9.8% Owner of Reliant at Home, Inc. Jan 30, 2018 9.8%
Merit Mezzanine Fund VI LP Organization, Wilmington, DE 5% Or Greater Indirect Ownership Interest Jan 30, 2018 73%
Claremont Healthcare Holdings, LLC Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Jan 30, 2018 8.5%
Reliant Home Health LLC Organization, Plano, TX For-profit 5% Or Greater Direct Ownership Interest Jan 30, 2018 100%
Reliant at Home Midco LLC Organization, Plano, TX For-profit 5% Or Greater Indirect Ownership Interest Jan 30, 2018 100%
Matthew McMurphy Individual Corporate OfficerPresident & Ceo Jan 30, 2018
Reliant at Home Inc Organization, Plano, TX For-profit 5% Or Greater Indirect Ownership Interest Jan 30, 2018 100%
Brittany Bonney Individual W-2 Managing EmployeeDirector of Nursing Jan 28, 2020 50%
Casey Wilson Individual Corporate OfficerVP Jun 17, 2021
W-2 Managing EmployeeVP Jun 17, 2021
Rajesh Singh Individual Corporate OfficerVice President Jan 30, 2018

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jan 30, 2018 Change of OwnershipThis provider was the buyer Abbi Home Health and Hospice CareCCN 673171, TX, NPI 1659327757

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1396252573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755752",
            "telephone_number": "972-390-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 HULEN ST STE 670",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077274",
            "telephone_number": "817-377-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT HOME HEALTH OF FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-390-7733"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.