Individual provider Active NPI

Lataurus Johnson

  • Home Health Agency
  • Lancaster, TX
National Provider Identifier
1598097974
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008833 Issued in TX
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

Updated by the provider on May 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 ProprietorProprietary
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 ServicesCCN 457869 · All quality measures
Ownership
Proprietary
Certified
Aug 10, 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
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008833TXMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Traditional Healthcare Services Home Health Current Accepting new patients
Traditional Health Care Services LLC Home Health PastSince Aug 11, 2019 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.

NameRoleSinceShare
Nakpangi L Atley Individual W-2 Managing EmployeeAssistant Administrator Jan 31, 2013 30%
Lataurus Johnson Individual 5% Or Greater Direct Ownership Interest Sep 1, 2003 100%
Sharon Brooks Individual Corporate DirectorAdministrator 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.

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

Verify at the official NPI Registry.