Active NPI
Linda Marie Motherwell, RN
- Administrator Registered Nurse
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 534217
- Practice address
- 418 W Main St
Nacogdoches, TX 75961-4814 - Phone
- (936) 552-1609
- NPI assigned
- Mar 10, 2008
- Last updated
- Mar 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 534217 | TX | Primary |
Addresses
Primary practice location
418 W Main St
Nacogdoches, TX 75961-4814
Mailing address
418 W Main St
Nacogdoches, TX 75961-4814
Phone (936) 552-1609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080307000564 | TX | Part A Provider - Home Health Agency | 6608826276 | Practice locations: Nacogdoches, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669642310. Details of each certification follow.
Home health agency certification: CCN 457899
- Legal name
- LINDA MARIE MOTHERWELL
- Doing business as
- MOTHERWELL HOME HEALTH PROFESSIONALS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 7, 2005
- Last certification
- Feb 14, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Sole Proprietor
- Enrollment address
- 418 West Main Street
Nacogdoches, TX 75961-4814
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Motherwell Home Health
- Ownership
- Proprietary
- Certified
- Sep 7, 2005
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 534217 | TX | MD | Administrator Registered Nurse |
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Motherwell | 5% Or Greater Direct Ownership Interest | Jan 19, 2005 | 100% |
| Corporate Officer | Jan 19, 2005 | 100% | |
| Corporate Director | Jan 19, 2005 | 100% | |
| W-2 Managing Employee | Jan 19, 2005 |
Organizations & group practices 1
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.
-
dba motherwell home health profssionals
- Home Health Agency
- Nacogdoches, TX
- NPI 1386625523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1669642310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W MAIN ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614814",
"telephone_number": "936-552-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W MAIN ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614814",
"telephone_number": "936-552-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTHERWELL",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "TX",
"license": "534217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.