NPIMap

Organization Active NPI

Home Care Health Services Inc

  • Home Health Agency
  • Pikeville, KY
National Provider Identifier
1528028487
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150075 Issued in KY
Legal business name
HOME CARE HEALTH SERVICES INC
Practice address
1414 S Mayo TRL
Pikeville, KY 41501-2206
Phone
(606) 432-2111
Fax
(606) 437-1000
NPI assigned
Mar 24, 2006
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Mr. Charles E Branham, CPB
Title
Chief Operating Officer
Phone
(606) 432-2111

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 150075 KY
Home Health Agency 251E00000X 150075 KY Primary
Nursing Care Agency 251J00000X 150075 KY
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1414 S Mayo TRL
Pikeville, KY 41501-2206

Mailing address

1414 S Mayo TRL
Pikeville, KY 41501-2206
Phone (606) 432-2111

Other identifiers 9

IdentifierTypeStateIssuer
31410500OtherKYBLACK LUNG
1020824OtherKYACM
2289832OtherKYCOVENTRY CARES OF KY
45343340MedicaidKY
61449OtherKYWELL CARE
000000054868OtherKYBC/BS
42002980MedicaidKY
34003988MedicaidKY
41010984MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000557 KY Part A Provider - Home Health Agency 7719147180 Practice locations: Pikeville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528028487. Details of each certification follow.

Home health agency certification: CCN 187077

Legal name
HOME CARE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 17, 1980
Last certification
Oct 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 1, 1986 in MP
Enrollment address
1414 South Mayo Trail
Pikeville, KY 41501-2206

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Health Services, IncCCN 187077 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 17, 1980
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
Home Care Health Services Inc2 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.

Locations

1414 S Mayo Trl
Pikeville, KY 41501
Phone (606) 432-2111

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
William Fannin Individual Corporate DirectorMedical Director Aug 1, 1988
Sharon Branham Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Aug 1, 1989 100%
Corporate DirectorPresident/Ceo Aug 1, 1989
W-2 Managing EmployeePresident/Ceo Aug 1, 1989
Charles Branham Individual Corporate DirectorVice President/Coo Aug 1, 2005
W-2 Managing EmployeeVice President/Coo Aug 1, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1528028487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012206",
            "telephone_number": "606-432-2111",
            "fax_number": "606-437-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012206",
            "telephone_number": "606-432-2111",
            "fax_number": "606-437-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "606-432-2111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPB"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": "150075",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150075",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "KY",
            "license": "150075",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "31410500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1020824",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY CARES OF KY",
            "identifier": "2289832",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45343340",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE",
            "identifier": "61449",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000054868",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42002980",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34003988",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41010984",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.