Southern Assured Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012878 Issued in TX

Legal business name

SOUTHERN ASSURED HOME HEALTH, LLC

Practice address

640 W Main St
Yorktown, TX 78164-5291

Phone

(210) 257-5765

Fax

(210) 257-0419

NPI assigned

Feb 25, 2010

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry M Watson, CPA

Title

Cfo

Phone

(361) 649-4192

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Southern Assured Home Health LLCCCN 679667

Ownership

Proprietary

Certified

Sep 28, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxanne M McMeans

  • Home Health Agency
  • San Antonio, TX
  • NPI 1891976940
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1407178874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781640822",
            "telephone_number": "210-257-5765",
            "fax_number": "210-257-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W MAIN ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781645291",
            "telephone_number": "210-257-5765",
            "fax_number": "210-257-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ASSURED HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-649-4192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF AGING AND DISABILITY SERVICES",
            "identifier": "012878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kraege Drug Store
• Alyce Yvonne Martin, LPC
• Phyllis A Nesbitt, LVN
• Laura Pacek, P.A.
• Maria S Perez Casten
• Kathleen Titus
• Robin Kathleen Woodmansee-Wewe, AGPCNP-BC
• Yorktown Emergency Medical Service
• Yorktown Isd
• Crystal Yount, APRN, FNP-C

• Home Health Agency in Yorktown, TX
• Providers in Yorktown, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.