Organization Active NPI

Anchor Pulmonary Rehab and Home Healthcare Services,LLC

  • Home Health Agency
  • Lewisville, TX
National Provider Identifier
1477580090
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012578 Issued in TX
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

Updated by the provider on Oct 22, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012578MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 LLCCCN 679700
Ownership
Proprietary
Certified
Nov 29, 2007
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
45D1053404Anchor Pulmonary Rehab and Home Healthcare2001 Feather Lane, Lewisville, TX 75077Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Joel Ekpe Individual 5% Or Greater Direct Ownership InterestOwner Oct 20, 2000 60%
Corporate DirectorManager Oct 30, 2005 60%
Operational/Managerial ControlAdministrator Oct 30, 2005 60%
Edith Ekpe Individual 5% Or Greater Direct Ownership InterestOwner Oct 30, 2005 40%
Corporate DirectorManager Oct 30, 2005 40%
Operational/Managerial ControlAlternate Administrator 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

Verify at the official NPI Registry.