Active NPI
Lataurus Johnson
- Home Health Agency
- Lancaster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008833
- Practice address
- 918 N Dallas Ave
Lancaster, TX 75146-1616 - Phone
- (972) 218-2272
- Fax
- (214) 218-8023
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 008833 | TX | |
| Home Health Agency | 251E00000X | 008833 | TX | Primary |
| Chore Provider | 372500000X |
Addresses
Primary practice location
918 N Dallas Ave
Lancaster, TX 75146-1616
Mailing address
918 N Dallas Ave
Lancaster, TX 75146-1616
Phone (972) 218-2272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040316000203 | TX | Part A Provider - Home Health Agency | 0143110171 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598097974. Details of each certification follow.
Home health agency certification: CCN 457869
- Legal name
- LATAURUS T. JOHNSON
- Doing business as
- TRADITIONAL HEALTHCARE SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 10, 2005
- Last certification
- Jul 10, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Sole Proprietor
- Incorporated
- in TX
- Enrollment address
- 918 N Dallas Ave
Lancaster, TX 75146-1616
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Traditional Healthcare Services
- Ownership
- Proprietary
- Certified
- Aug 10, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008833 | TX | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditional Healthcare Services | Home Health | Current | Accepting new patients |
| Traditional Health Care Services LLC | Home Health | Past | Accepting new patients |
Locations
918 N Dallas Ave
Lancaster, TX 75146
Phone (972) 218-2272
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nakpangi L Atley | W-2 Managing Employee | Jan 31, 2013 | 30% |
| Lataurus Johnson | 5% Or Greater Direct Ownership Interest | Sep 1, 2003 | 100% |
| Sharon Brooks | Corporate Director | Feb 28, 2013 | 70% |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Lancaster, TX
- NPI 1700962107
-
- Home Health Agency
- Lancaster, TX
- NPI 1598310443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1598097974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 N DALLAS AVE",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461616",
"telephone_number": "972-218-2272",
"fax_number": "972-218-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 N DALLAS AVE",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461616",
"telephone_number": "972-218-2272",
"fax_number": "214-218-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LATAURUS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "008833",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008833",
"primary": true
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.