Organization Active NPI

Restorative Care Home Health Services Inc

  • Home Health Agency
  • Bedford, TX
National Provider Identifier
1457526584
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011831 Issued in TX
Legal business name
RESTORATIVE CARE HOME HEALTH SERVICES INC
Practice address
221 Bedford Rd Ste 320
Bedford, TX 76022-6250
Phone
(817) 285-8515
Fax
(817) 285-8869
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Alice K JohnsonNPI 1467656801
Title
Owner
Phone
(817) 285-8515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011831 TX Primary

Addresses

Primary practice location

221 Bedford Rd Ste 320
Bedford, TX 76022-6250

Mailing address

221 Bedford Rd Ste 320
Bedford, TX 76022-6250
Phone (817) 285-8515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000306 TX Part A Provider - Home Health Agency 5395814396 Practice locations: Bedford, TX

Home health agency certification: CCN 747132

Legal name
RESTORATIVE CARE HOME HEALTH SERVICES INC
Doing business as
RESTORATIVE CARE HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2009
Last certification
Jan 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2007 in TX
Enrollment address
221 Bedford Rd
Ste 320
Bedford, TX 76022-6250

Care Compare: Home health agency

Medicare Care Compare
Listed as
Restorative Care Home Health Services, IncCCN 747132
Ownership
Proprietary
Certified
Jun 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical 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
45D1072284Restorative Care Home Health Services, Inc221 Bedford Road, Suite 320, Bedford, TX 76022Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Locations

221 Bedford Rd
Ste 208
Bedford, TX 76022

221 Bedford Rd
Ste 320
Bedford, TX 76022
Phone (817) 285-8515

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Alice K Johnson Individual 5% Or Greater Direct Ownership Interest Jun 30, 2017 100%
General Partnership InterestBoard Member, Board of Directors Apr 3, 2007 50%
Corporate OfficerBoard of Directors, President Apr 3, 2007 50%
Corporate DirectorBoard of Directors, President, a Jan 24, 2007 50%
W-2 Managing EmployeeBoard of Directors, President, a Jan 24, 2007 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1457526584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BEDFORD RD STE 320",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226250",
            "telephone_number": "817-285-8515",
            "fax_number": "817-285-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BEDFORD RD STE 320",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226250",
            "telephone_number": "817-285-8515",
            "fax_number": "817-285-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-285-8515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.