NPIMap

Organization Active NPI

Marathon Healthcare Services LLC

  • Home Health Agency
  • Pearland, TX
National Provider Identifier
1457559098
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009087 Issued in TX
Legal business name
MARATHON HEALTHCARE SERVICES LLC
Practice address
2421 Roy Rd.
Pearland, TX 77581-8601
Phone
(281) 997-6272
Fax
(281) 997-6275
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Merrill Mohan
Title
Owner
Phone
(281) 997-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009087 TX Primary

Addresses

Primary practice location

2421 Roy Rd.
Pearland, TX 77581-8601

Mailing address

2421 Roy Rd.
Pearland, TX 77581-8601
Phone (281) 997-6272

Other names 1

  • Marathon Healthcare Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081216000583 TX Part A Provider - Home Health Agency 9335201979 Practice locations: Pearland, TX

Home health agency certification: CCN 747627

Legal name
MARATHON HEALTHCARE SERVICES LLC
Doing business as
QUANTUM HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 9, 2011
Last certification
Jun 3, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 26, 2009 in TX
Enrollment address
2421 Roy Rd
Pearland, TX 77581-8601

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marathon Healthcare Services LLCCCN 747627
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 9, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D1084682Marathon Healthcare Services LLC2421 Roy Road, Pearland, TX 77581Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Merrill Mohan Individual 5% Or Greater Direct Ownership InterestOwner Oct 24, 2008 100%
Corporate DirectorOwner Oct 24, 2008 100%
W-2 Managing EmployeeOwner Oct 24, 2008 100%
Mary Mohan Individual Corporate Director Nov 20, 2008
W-2 Managing Employee Nov 20, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1457559098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 ROY RD.",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818601",
            "telephone_number": "281-997-6272",
            "fax_number": "281-997-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 ROY RD.",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818601",
            "telephone_number": "281-997-6272",
            "fax_number": "281-997-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-997-6272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Healthcare Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.