Organization Active NPI

Traditional Care Home Health LLC

Doing business as Nightingale Services

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1508697715
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRADITIONAL CARE HOME HEALTH LLC
Doing business as
Nightingale Services
Practice address
6220 Westpark Dr Ste 220
Houston, TX 77057-7386
Phone
(713) 780-0695
Fax
(713) 780-7210
NPI assigned
Aug 9, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Marvin Saavedra
Title
Administrator
Phone
(832) 766-2399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6220 Westpark Dr Ste 220
Houston, TX 77057-7386

Mailing address

6220 Westpark Dr Ste 220
Houston, TX 77057-7386
Phone (713) 780-0695

Other names 1

  • Nightingale Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250619001952 TX Part A Provider - Home Health Agency 6709397375 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508697715. Details of each certification follow.

Home health agency certification: CCN 457955

Legal name
TRADITIONAL CARE HOME HEALTH LLC
Doing business as
NIGHTINGALE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2005
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
6220 Westpark Dr
Suite 220
Houston, TX 77057-7386

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nightingale ServicesCCN 457955 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 6, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

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
Cessna Saavedra Individual 5% Or Greater Direct Ownership InterestAssistant Don Jul 18, 2024 25%
Marvin Jose Baltazar Saavedra Individual 5% Or Greater Direct Ownership Interest Jul 18, 2024 25%
W-2 Managing EmployeeAd; Jul 18, 2024
Charles Garcia Individual 5% Or Greater Direct Ownership InterestAssistant Administrator Jul 18, 2024 25%
Ma Corazon Garcia Individual 5% Or Greater Direct Ownership InterestDon Jul 18, 2024 25%

Change-of-ownership history 1

DateEventCounterparty
Jul 18, 2024 Change of OwnershipThis provider was the buyer Nightingale Services, Inc.CCN 457955, TX, NPI 1033154976

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1508697715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577386",
            "telephone_number": "713-780-0695",
            "fax_number": "713-780-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577386",
            "telephone_number": "713-780-0695",
            "fax_number": "713-780-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-766-2399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nightingale Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.