Active NPI
Anchor Pulmonary Rehab and Home Healthcare Services,LLC
- Home Health Agency
- Lewisville, TX
National Provider Identifier
1477580090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012578
- Legal business name
- ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC
- Practice address
- 2001 Feather LN
Lewisville, TX 75077-7631 - Phone
- (972) 317-7331
- Fax
- (972) 317-3296
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joel Osita Ekpe
- Title
- Administrator
- Phone
- (972) 317-7331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012578 | TX | Primary |
Addresses
Primary practice location
2001 Feather LN
Lewisville, TX 75077-7631
Mailing address
2001 Feather LN
Lewisville, TX 75077-7631
Phone (972) 317-7331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012578 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060812000015 | TX | Part A Provider - Home Health Agency | 5193728111 | Practice locations: Lewisville, TX |
Home health agency certification: CCN 679700
- Legal name
- ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 29, 2007
- Last certification
- Nov 2, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 19, 2006 in TX
- Enrollment address
- 2001 Feather LN
Lewisville, TX 75077-7631
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Anchor Pulmonary Rehab and Home Healthcare Services LLC
- Ownership
- Proprietary
- Certified
- Nov 29, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1053404 | Anchor Pulmonary Rehab and Home Healthcare | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1400 Moccassin Trl
Ste 20
Lewisville, TX 75077
Phone (972) 317-7332
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joel Ekpe | 5% Or Greater Direct Ownership Interest | Oct 20, 2000 | 60% |
| Corporate Director | Oct 30, 2005 | 60% | |
| Operational/Managerial Control | Oct 30, 2005 | 60% | |
| Edith Ekpe | 5% Or Greater Direct Ownership Interest | Oct 30, 2005 | 40% |
| Corporate Director | Oct 30, 2005 | 40% | |
| Operational/Managerial Control | Oct 30, 2005 | 40% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1477580090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 FEATHER LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750777631",
"telephone_number": "972-317-7331",
"fax_number": "972-317-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 FEATHER LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750777631",
"telephone_number": "972-317-7331",
"fax_number": "972-317-3296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR PULMONARY REHAB AND HOME HEALTHCARE SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "EKPE",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "OSITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-317-7331",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012578",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.