Active NPI
Life Home Health Care, Inc.
- Home Health Agency
- Weslaco, TX
National Provider Identifier
1679691844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE HOME HEALTH CARE, INC.
- Practice address
- 1609 Davenport St Ste B
Weslaco, TX 78596-6543 - Phone
- (956) 287-7080
- Fax
- (956) 287-7084
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arturo Ramos Jr.
- Title
- Administator
- Phone
- (956) 287-7080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X | 747136 | TX |
Addresses
Primary practice location
1609 Davenport St Ste B
Weslaco, TX 78596-6543
Mailing address
1609 Davenport St Ste B
Weslaco, TX 78596-6543
Phone (956) 287-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000047 | TX | Part A Provider - Home Health Agency | 0840374716 | Practice locations: Weslaco, TX |
Home health agency certification: CCN 747136
- Legal name
- LIFE HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 20, 2009
- Last certification
- Jun 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 13, 2007 in TX
- Enrollment address
- 1609 Davenport St
Suite B
Weslaco, TX 78596-6543
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Life Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 20, 2009
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1073189 | Life Home Health Care Inc | Certificate of waiver | Sep 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
108 N Jackson Rd
#3031
Edinburg, TX 78541
Phone (956) 287-7080
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Arturo Ramos | 5% Or Greater Direct Ownership Interest | Oct 7, 2014 | 100% |
| Corporate Officer | Oct 7, 2014 | ||
| Operational/Managerial Control | Oct 7, 2014 | ||
| Roberta L Reyes | Contracted Managing Employee | Oct 7, 2014 | |
| Corporate Officer | Oct 7, 2014 | ||
| Operational/Managerial Control | Oct 7, 2014 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Brownsville, TX
- NPI 1295753127
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1679691844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 DAVENPORT ST STE B",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966543",
"telephone_number": "956-287-7080",
"fax_number": "956-287-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 DAVENPORT ST STE B",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966543",
"telephone_number": "956-287-7080",
"fax_number": "956-287-7084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "ARTURO",
"authorized_official_title_or_position": "ADMINISTATOR",
"authorized_official_telephone_number": "956-287-7080",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "747136",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.