NPIMap

Organization Active NPI

Baylor County Hospital District

Doing business as Seymour Hospital Home Health

  • Home Health Agency
  • Seymour, TX
National Provider Identifier
1457426801
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002793 Issued in TX
Legal business name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
Seymour Hospital Home Health
Practice address
600 N Main St
Seymour, TX 76380-1730
Phone
(940) 889-3755
Fax
(940) 889-2715
NPI assigned
Nov 21, 2006
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Leslie Hardin
Title
Ceo
Phone
(940) 889-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 002793 TX Primary

Addresses

Primary practice location

600 N Main St
Seymour, TX 76380-1730

Mailing address

600 N Main St
Seymour, TX 76380-1730
Phone (940) 889-3755

Other identifiers 1

IdentifierTypeStateIssuer
138353104MedicaidTX

Other names 1

  • Seymour Hospital Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000123 TX Part A Provider - Home Health Agency 6103739222 Practice locations: Seymour, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457426801. Details of each certification follow.

Home health agency certification: CCN 458006

Legal name
BAYLOR COUNTY HOSPITAL DISTRICT
Doing business as
SEYMOUR HOSPITAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 8, 1994
Last certification
Feb 6, 2020
Ownership / control type
Proprietary
Organization structure
GovernmentProprietary
Enrollment address
600 N Main St
Seymour Hospital Home Health
Seymour, TX 76380-1730
HHA Branch

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Seymour Hospital Home HealthCCN 458006 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 8, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D0884225Seymour Hospital Home Health600 N Main St, Seymour, TX 76380Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Baylor County Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Main St
Seymour, TX 76380
Phone (940) 889-3755

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
Stormie Carrington Individual Corporate DirectorDirector of Nursing Jan 1, 2016
W-2 Managing EmployeeDirector of Nursing Jan 1, 2016
Leslie Hardin Individual Corporate DirectorCeo Oct 8, 2010
W-2 Managing Employee Oct 8, 2010
Baylor County Hospital District Organization, Seymour, TX Operational/Managerial Control Jan 26, 2006
Chazeley Kinnibrugh Individual W-2 Managing EmployeeAlternate Administrator/Alt Don Jun 24, 2019

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seymour HospitalSeymour, TX, CCN 451399 Hospital Operational/Managerial Control Nov 16, 2021
Seymour HospitalSeymour, TX, CCN 45Z399 Hospital Operational/Managerial Control Nov 16, 2021
Advanced Rehabilitation and Healthcare of VernonVernon, TX, CCN 455931 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Seymour Rehabilitation and HealthcareSeymour, TX, CCN 675042 Skilled nursing facility 5% Or Greater Indirect Ownership Interest Oct 1, 2014
Cherokee Trails Nursing HomeRusk, TX, CCN 675835 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Tomball Rehab & NursingTomball, TX, CCN 675714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023
Seymour Hospital Rural Health ClinicSeymour, TX, CCN 458573 Rural health clinic Operational/Managerial Control Aug 14, 2003

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1457426801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763801730",
            "telephone_number": "940-889-3755",
            "fax_number": "940-889-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763801730",
            "telephone_number": "940-889-3755",
            "fax_number": "940-889-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-889-5572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138353104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seymour Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TX

Sources for this page

Verify at the official NPI Registry.