NPIMap

Organization Active NPI

Sentry Home Health Care LLC

  • Home Health Agency
  • Roswell, NM
National Provider Identifier
1538828835
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENTRY HOME HEALTH CARE LLC
Practice address
805 N Richardson Ave
Roswell, NM 88201-4920
Phone
(575) 622-6260
Fax
(575) 622-6326
NPI assigned
Dec 14, 2021
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Robert Ryan Wooley, PTNPI 1184934218
Title
Owner
Phone
(575) 616-5321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

805 N Richardson Ave
Roswell, NM 88201-4920

Mailing address

805 N Richardson Ave
Roswell, NM 88201-4920
Phone (575) 616-5321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517001529 NM Part A Provider - Home Health Agency 4082091871 Practice locations: Roswell, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538828835. Details of each certification follow.

Home health agency certification: CCN 327808

Legal name
SENTRY HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2023
Last certification
Mar 15, 2023
Organization structure
LLCProprietary
Enrollment address
805 N Richardson Ave
Roswell, NM 88201-4920
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sentry Home Health Care LLCCCN 327808 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Feb 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

805 N Richardson Ave
Roswell, NM 88201
Phone (575) 622-6260

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Robert Ryan Wooley Individual 5% Or Greater Direct Ownership Interest Feb 25, 2019
W-2 Managing Employee Feb 25, 2019 100%

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

Practitioners 11

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1538828835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014920",
            "telephone_number": "575-616-5321",
            "fax_number": "575-578-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014920",
            "telephone_number": "575-622-6260",
            "fax_number": "575-622-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "WOOLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-616-5321",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.