Active NPI
Imparting Knowledge Home Health LLC
- Community/Behavioral Health Agency
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 017670
- 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, 2024
- 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
- Mr. Zachary Koenen
- Title
- Administrator
- Phone
- (972) 664-0945
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2080103 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Group
- Ownership
- Proprietary
- Certified
- Jul 20, 2007
- 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 |
|---|---|---|---|
| 45D1056736 | Imparting Knowledge Home Health, Inc | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Zachary Koenen | 5% Or Greater Indirect Ownership Interest | Jun 10, 2024 | 46.7% |
| Corporate Director | Jun 10, 2024 | 50% | |
| Operational/Managerial Control | Jun 10, 2024 | 50% | |
| Lucent Health Group LP | 5% Or Greater Direct Ownership Interest | Jun 10, 2024 | 100% |
| Daniel Livolsi | 5% Or Greater Indirect Ownership Interest | Jun 10, 2024 | 46.7% |
| Corporate Director | Jun 10, 2024 | 50% | |
| Operational/Managerial Control | Jun 10, 2024 | 50% | |
| Reconnaissance Growth Partners 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.
-
- Community Based Hospice Care Agency
- Plano, TX
- NPI 1801224142
Lucent Health Group LP
-
- Home Health Agency
- Plano, TX
- NPI 1588713739
Lucent Health Group LP, Reconnaissance Growth Partners LLC
-
dba Lucent Health Group
- Home Health Agency
- Plano, TX
- NPI 1649462334
Lucent Health Group LP
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.