Medicall Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICALL HOME HEALTH SERVICES LLC

Practice address

320 Cheyenne TRL
Keller, TX 76248-2310

Phone

(817) 380-1735

Fax

(817) 439-6794

NPI assigned

Mar 24, 2009

Last updated

Jun 11, 2024By 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. Charles A Mugisha, RNNPI 1265585616

Title

Director

Phone

(817) 380-1735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447492350. Details of each certification follow.

• CCN 747443 Home health agency · Active · Details

Home health agency certification: CCN 747443

Legal name

MEDICALL HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 27, 2010

Last certification

Oct 28, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

320 Cheyenne TRL
Keller, TX 76248-2310

Listed as

Medicall Home Health Services LLCCCN 747443 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Oct 27, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, 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

All disclosed owners & managing parties 2

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

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.

• Charles A Mugisha, RN

  • Psychiatric/Mental Health Registered Nurse
  • Keller, TX
  • NPI 1265585616
  NPD Authorized official

Affiliated clinicians 1

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

• Lekeytra Washington, NP

  • Family Nurse Practitioner
  • North Richland Hills, TX
  • NPI 1518395268

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1447492350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHEYENNE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482310",
            "telephone_number": "817-380-1735",
            "fax_number": "817-439-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CHEYENNE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482310",
            "telephone_number": "817-380-1735",
            "fax_number": "817-439-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALL HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MUGISHA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-380-1735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Keller, TX
• Providers in Keller, 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 Jun 11, 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.

Verify at the official NPI Registry.