Active NPI
Alcomed Homehealth Services, Inc
- Home Health Agency
- Dallas, TX
National Provider Identifier
1689784167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012090
- Legal business name
- ALCOMED HOMEHEALTH SERVICES, INC
- Practice address
- 9330 Amberton Pkwy
Ste. 2220
Dallas, TX 75243-3278 - Phone
- (972) 442-5443
- Fax
- (214) 570-8335
- NPI assigned
- Aug 30, 2006
- 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. Lawrence Arum, RN, BA
- Title
- Administrator
- Phone
- (972) 442-5443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012090 | TX | Primary |
Addresses
Primary practice location
9330 Amberton Pkwy
Ste. 2220
Dallas, TX 75243-3278
Mailing address
9330 Amberton Pkwy
Ste. 2220
Dallas, TX 75243-3278
Phone (972) 442-5443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090626000427 | TX | Part A Provider - Home Health Agency | 5395896617 | Practice locations: Dallas, TX |
Home health agency certification: CCN 457990
- Legal name
- ALCOMED HOMEHEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 26, 2006
- Last certification
- Apr 22, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 11615 Foreste Central Dr.
Ste 322
Dallas, TX 75243-6699
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Alcomed Homehealth Services Inc
- Ownership
- Proprietary
- Certified
- Jan 26, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
9330 Amberton Pkwy
Ste 2220
Dallas, TX 75243
Phone (972) 442-5443
11615 Forest Central Dr
Ste 322
Dallas, TX 75243
Phone (214) 952-2899
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 |
|---|---|---|---|
| Lawrence Arum | 5% Or Greater Direct Ownership Interest | Jun 5, 2009 | 100% |
| W-2 Managing Employee | Jun 5, 2009 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245628800000",
"number": "1689784167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 AMBERTON PKWY",
"address_2": "STE. 2220",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433278",
"telephone_number": "972-442-5443",
"fax_number": "214-570-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 AMBERTON PKWY",
"address_2": "STE. 2220",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433278",
"telephone_number": "972-442-5443",
"fax_number": "214-570-8335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCOMED HOMEHEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2009-06-22",
"status": "A",
"authorized_official_last_name": "ARUM",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-442-5443",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, BA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.