NPIMap

Organization Active NPI

SLH Health Corp

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1699900498
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SLH HEALTH CORP
Practice address
4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301
Phone
(817) 792-2030
Fax
(817) 792-2031
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Stacy Lynn Hulsey Brown, PTNPI 1245822824
Title
Administrator
Phone
(817) 792-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301

Mailing address

4025 Woodland Park Blvd Ste 120
Arlington, TX 76013-4301
Phone (817) 792-2030

Other identifiers 1

IdentifierTypeStateIssuer
218842701MedicaidTX

Other names 1

  • CLASSIC HOME CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100105000149 TX Part A Provider - Home Health Agency 6800937400 Practice locations: Arlington, TX

Home health agency certification: CCN 747434

Legal name
SLH HEALTH CORP
Doing business as
CLASSIC HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2010
Last certification
Jul 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
4025 Woodland Park Blvd
Ste 120
Arlington, TX 76013-4301

Care Compare: Home health agency

Medicare Care Compare
Listed as
Classic Home CareCCN 747434
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 14, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1102150SLH Health Corp4025 Woodland Park Blvd Suite 300, Arlington, TX 76013Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

Locations

5800 W I 20
Ste 100
Arlington, TX 76017
Phone (817) 561-9990

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
Stacy Lynn Hulsey-Brown Individual 5% Or Greater Direct Ownership InterestPresident, Ceo, Owner Dec 4, 2009 100%
Corporate OfficerPresident - Board of Directors Mar 29, 2009 100%
Corporate DirectorPresident Dec 4, 2009 100%
W-2 Managing EmployeePresident, PT, Biller Dec 4, 2009 100%
Operational/Managerial ControlPresident Mar 29, 2009 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Stacy Lynn Hulsey-Brown, PT
    • Physical Therapy Clinic/Center
    • Arlington, TX
    • NPI 1245822824

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1699900498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 WOODLAND PARK BLVD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134301",
            "telephone_number": "817-792-2030",
            "fax_number": "817-792-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 WOODLAND PARK BLVD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134301",
            "telephone_number": "817-792-2030",
            "fax_number": "817-792-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLH HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "HULSEY BROWN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-792-2030",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218842701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLASSIC HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLASSIC HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.