NPIMap

Organization Active NPI

Capital Homecare LP

Doing business as Interim Healthcare of Austin

  • Home Health Agency
  • Big Spring, TX
National Provider Identifier
1528013174
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008312 Issued in TX
Legal business name
CAPITAL HOMECARE LP
Doing business as
Interim Healthcare of Austin
Practice address
1900 S Gregg St Ste C
Big Spring, TX 79720-5462
Phone
(432) 235-1164
Fax
(432) 235-1169
NPI assigned
May 23, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Shelly Lynn Marker, RN
Title
President/Ceo
Phone
(806) 771-0995

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008312 TX Primary
Nursing Care Agency 251J00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1900 S Gregg St Ste C
Big Spring, TX 79720-5462

Mailing address

3223 S Loop 289 Ste 210
Lubbock, TX 79423-1352
Phone (806) 771-0995

Other identifiers 3

IdentifierTypeStateIssuer
157152301MedicaidTX
008312OtherTXSTATE OPERATOR LICENSE
45D0874757OtherTXCLIA

Other names 1

  • Interim Healthcare of Austin Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions INC.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030331000028 TX Part A Provider - Home Health Agency 3577472620 Practice locations: Big Spring, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528013174. Details of each certification follow.

Home health agency certification: CCN 457174

Legal name
CAPITAL HOMECARE LP
Doing business as
INTERIM HEALTHCARE OF AUSTIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 1981
Last certification
Sep 16, 2021
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Dec 19, 2002 in TX
Enrollment address
1900 S Gregg St
Ste C
Big Spring, TX 79720-5462

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excelacare Home HealthCCN 457174 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 16, 1981
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
Tax ID family
Capital Homecare LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Falcon Healthcare Inc Organization, Lubbock, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 3, 2024 100%
Heather Cline Individual W-2 Managing EmployeeAd;Director of Nursing Mar 28, 2024
Krystal Lee Individual W-2 Managing EmployeeAlternate Administrator Mar 28, 2024
Marissa Garcia Individual W-2 Managing EmployeeAlternate Director of Nursing Mar 28, 2024
John Durbin Individual 5% Or Greater Indirect Ownership Interest Jan 3, 2024 100%
Shelly Marker Individual W-2 Managing EmployeePresident of the Board/Ceo Jan 17, 2022 100%
Operational/Managerial ControlCeo Jan 17, 2022 100%

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1528013174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289 STE 210",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231352",
            "telephone_number": "806-771-0995",
            "fax_number": "806-771-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S GREGG ST STE C",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205462",
            "telephone_number": "432-235-1164",
            "fax_number": "432-235-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HOMECARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MARKER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "806-771-0995",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008312",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157152301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPERATOR LICENSE",
            "identifier": "008312",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0874757",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions INC.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.