Organization Active NPI

Alcomed Homehealth Services, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1689784167
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012090 Issued in TX
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

Updated by the provider on Jun 22, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 457990
Ownership
Proprietary
Certified
Jan 26, 2006
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

Locations

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.

NameRoleSinceShare
Lawrence Arum Individual 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

Verify at the official NPI Registry.