Organization Active NPI

Home Health & Beyond Services,LLC

  • Home Health Agency
  • McKinney, TX
National Provider Identifier
1699916163
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH & BEYOND SERVICES,LLC
Doing business as
Home Health & Beyond Services,LLC
Practice address
6408 Oakmont Dr
McKinney, TX 75070-9408
Phone
(214) 417-6418
NPI assigned
Mar 13, 2009
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Mrs. Fatmata Saccoh, RN
Title
Adm
Phone
(972) 369-7193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Personal Care Attendant 3747P1801X NU

Addresses

Primary practice location

6408 Oakmont Dr
McKinney, TX 75070-9408

Mailing address

2300 W White Ave Ste 110
McKinney, TX 75071-3133
Phone (214) 417-6418

Other identifiers 1

IdentifierTypeStateIssuer
001025949MedicaidTX

Other names 1

  • Home Health & Beyond Services,LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091202000569 TX Part A Provider - Home Health Agency 6002955176 Practice locations: McKinney, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699916163. Details of each certification follow.

Home health agency certification: CCN 747410

Legal name
HOME HEALTH & BEYOND SERVICES,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 19, 2010
Last certification
Jul 15, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 12, 2009 in TX
Enrollment address
2300 West White Avenue, Ste 110
McKinney, TX 75071
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health & Beyond Services LLCCCN 747410 · All quality measures
Ownership
Proprietary
Certified
Aug 19, 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
45D1105130Home Health & Beyond Services, LLC2300 W White Avenue, Suite 110, McKinney, TX 75071Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

2300 W White Ave
Ste 110
McKinney, TX 75071
Phone (214) 417-6418

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.

NameRoleSinceShare
Fatmata Saccoh Individual 5% Or Greater Direct Ownership Interest Oct 14, 2009 100%
Ebun R. Williams Individual Corporate OfficerCfo, Board Member Jul 10, 2015 33.33%
Corporate DirectorCfo, Board Member Jul 10, 2015 33.33%
W-2 Managing EmployeeCfo, Board Member Jul 10, 2015 3.33%
Operational/Managerial ControlCfo, Board Member Jul 10, 2015 33.33%

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1699916163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W WHITE AVE STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713133",
            "telephone_number": "214-417-6418",
            "fax_number": "972-369-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 OAKMONT DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709408",
            "telephone_number": "214-417-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH & BEYOND SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "SACCOH",
        "authorized_official_first_name": "FATMATA",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "972-369-7193",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025949",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health & Beyond Services,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.