Organization Active NPI

Imparting Knowledge Home Health LLC

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1396760054
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
017670 Issued in TX
Legal business name
IMPARTING KNOWLEDGE HOME HEALTH LLC
Practice address
1255 W 15TH St Ste 900
Plano, TX 75075-4214
Phone
(972) 664-0945
Fax
(972) 664-0139
NPI assigned
Jul 13, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mr. Zachary Koenen
Title
Administrator
Phone
(972) 664-0945

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Community/Behavioral Health Agency 251S00000X 017670 TX Primary

Addresses

Primary practice location

1255 W 15TH St Ste 900
Plano, TX 75075-4214

Mailing address

1255 W 15TH St Ste 900
Plano, TX 75075-4214
Phone (972) 664-0945

Other identifiers 1

IdentifierTypeStateIssuer
2080103MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000464 TX Part A Provider - Home Health Agency 4486658549 Practice locations: Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396760054. Details of each certification follow.

Home health agency certification: CCN 679652

Legal name
IMPARTING KNOWLEDGE HOME HEALTH LLC
Doing business as
LUCENT HEALTH GROUP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2007
Last certification
May 14, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 3, 2006 in TX
Enrollment address
1255 W 15TH St
Ste 900
Plano, TX 75075-4214

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lucent Health GroupCCN 679652 · All quality measures
Ownership
Proprietary
Certified
Jul 20, 2007
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
45D1056736Imparting Knowledge Home Health, Inc1255 W 15TH Street Ste 900, Plano, TX 75075Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

1181 Valley Ridge Blvd
Ste C
Lewisville, TX 75077
Phone (972) 542-0300

1216 N Central Expy
Ste 203A
McKinney, TX 75070
Phone (972) 542-0300

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Zachary Koenen Individual 5% Or Greater Indirect Ownership InterestManaging Partner Jun 10, 2024 46.7%
Corporate DirectorManaging Partner Jun 10, 2024 50%
Operational/Managerial ControlManaging Partner Jun 10, 2024 50%
Lucent Health Group LP Organization, The Colony, TX Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 10, 2024 100%
Daniel Livolsi Individual 5% Or Greater Indirect Ownership InterestManaging Partner Jun 10, 2024 46.7%
Corporate DirectorManaging Partner Jun 10, 2024 50%
Operational/Managerial ControlManaging Partner Jun 10, 2024 50%
Reconnaissance Growth Partners LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Jun 10, 2024 93.4%

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1396760054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754214",
            "telephone_number": "972-664-0945",
            "fax_number": "972-664-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754214",
            "telephone_number": "972-664-0945",
            "fax_number": "972-664-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPARTING KNOWLEDGE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KOENEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-664-0945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "017670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.