NPIMap

Organization Active NPI

Professional Home Health Care Inc

  • Home Health Agency
  • Euless, TX
National Provider Identifier
1720018534
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007581 Issued in TX
Legal business name
PROFESSIONAL HOME HEALTH CARE INC
Practice address
345 Westpark Way
Suite 101
Euless, TX 76040-3936
Phone
(817) 268-0010
Fax
(817) 268-0722
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Ms. Consolata Bryant, RN
Title
Administrator
Phone
(817) 268-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007581 TX Primary

Addresses

Primary practice location

345 Westpark Way
Suite 101
Euless, TX 76040-3936

Mailing address

345 Westpark Way
Suite 101
Euless, TX 76040
Phone (817) 268-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000703 TX Part A Provider - Home Health Agency 9133193709 Practice locations: Euless, TX

Home health agency certification: CCN 459470

Legal name
PROFESSIONAL HOME HEALTH CARE INC
Doing business as
PROFESSIONAL HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 16, 1999
Last certification
Jan 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2001 in TX
Enrollment address
345 Westpark Way
101
Euless, TX 76040-3902

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Home Health Care IncCCN 459470 ยท All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 16, 1999
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

345 Westpark Way
Ste 101
Euless, TX 76040
Phone (817) 268-0010

345 Westpark Way
#101
Euless, TX 76040
Phone (817) 268-0010

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Consolata Bryant Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Jan 1, 1999 100%
Corporate Director Aug 20, 2004
Tralisa Hall Individual W-2 Managing EmployeeBusiness Manager Mar 1, 2024
Operational/Managerial ControlBusiness Manager Mar 1, 2024
Jayne McGraw Individual W-2 Managing Employee Jan 1, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1720018534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WESTPARK WAY",
            "address_2": "SUITE 101",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "76040",
            "telephone_number": "817-268-0010",
            "fax_number": "817-268-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WESTPARK WAY",
            "address_2": "SUITE 101",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403936",
            "telephone_number": "817-268-0010",
            "fax_number": "817-268-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CONSOLATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-268-0010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.