Medsol Home Healthcare & Case Management Service, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010103 Issued in TX

Legal business name

MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, LLC

Practice address

7807 Long Point Rd Ste 310
Houston, TX 77055-3779

Phone

(281) 380-4683

Fax

(713) 722-8099

NPI assigned

Feb 6, 2007

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mandana Gholamhosseini

Title

Alt. Administrator

Phone

(713) 722-8009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649319427. Details of each certification follow.

• CCN 679593 Home health agency · Active · Details

Home health agency certification: CCN 679593

Legal name

MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 11, 2006

Last certification

Jan 7, 2021

Ownership / control type

Proprietary

Organization structure

PartnershipProprietary

Incorporated

Jul 22, 2005 in TX

Enrollment address

7807 Long Point Rd
Ste 310
Houston, TX 77055-3779

Listed as

Medsol Home Healthcare & Case Management Services LLCCCN 679593 · All quality measures

Ownership

Proprietary

Certified

Dec 11, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medsol Home Healthcare and Case Management LLC2 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.

• Medsol Home Healthcare and Case Management, LLC.

  • Home Health Agency
  • Stafford, TX
  • NPI 1689695843
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Dwayne Oneal Williams, MD

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1689740003

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1649319427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 LONG POINT RD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553779",
            "telephone_number": "281-380-4683",
            "fax_number": "713-722-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 LONG POINT RD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553779",
            "telephone_number": "281-380-4683",
            "fax_number": "713-722-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOL HOME HEALTHCARE & CASE MANAGEMENT SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-12-14",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "GHOLAMHOSSEINI",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "713-722-8009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.

Verify at the official NPI Registry.