Active NPI
Ally at Home Inc
- Home Health Agency
- Lancaster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALLY AT HOME INC
- Practice address
- 3200 W Pleasant Run Rd Ste 404
Lancaster, TX 75146-1073 - Phone
- (903) 229-8203
- NPI assigned
- Oct 6, 2021
- Last updated
- Nov 3, 2022
- 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
- Laverne Michelle Moore, RN
- Title
- Owner
- Phone
- (903) 229-8203
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3200 W Pleasant Run Rd Ste 404
Lancaster, TX 75146-1073
Mailing address
3200 W Pleasant Run Rd Ste 404
Lancaster, TX 75146-1073
Phone (903) 229-8203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221116002488 | TX | Part A Provider - Home Health Agency | 2365810728 | Practice locations: Lancaster, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740942838. Details of each certification follow.
Home health agency certification: CCN 748127
- Legal name
- ALLY AT HOME INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 10, 2024
- Last certification
- May 29, 2024
- Organization structure
- Corporation
- Incorporated
- Sep 21, 2021 in TX
- Enrollment address
- 3200 W Pleasant Run Rd
Ste 404
Lancaster, TX 75146-1073
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ally at Home, Inc.
- Ownership
- -
- Certified
- Jun 10, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2260051 | Ally at Home, LLC | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
3200 W Pleasant Run Rd
Ste 404
Lancaster, TX 75146
Phone (214) 600-2772
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Rita Jasso | 5% Or Greater Direct Ownership Interest | Jan 14, 2022 | 25% |
| W-2 Managing Employee | Jan 14, 2022 | ||
| Glynis Blocker | 5% Or Greater Direct Ownership Interest | Jan 14, 2022 | 25% |
| W-2 Managing Employee | Jan 14, 2022 | ||
| Karlo Fajardo | 5% Or Greater Direct Ownership Interest | Jan 14, 2022 | 25% |
| W-2 Managing Employee | Jan 14, 2022 | ||
| Laverne Moore | 5% Or Greater Direct Ownership Interest | Jan 14, 2022 | 25% |
| W-2 Managing Employee | Jan 14, 2022 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Vocational Nurse
- Corsicana, TX
- NPI 1225340573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1740942838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W PLEASANT RUN RD STE 404",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461073",
"telephone_number": "903-229-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W PLEASANT RUN RD STE 404",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461073",
"telephone_number": "903-229-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLY AT HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-06",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "LAVERNE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-229-8203",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.