NPIMap

Organization Active NPI

Maxus Healthcare Partners LLC

  • Home Health Agency
  • Sherman, TX
National Provider Identifier
1801152905
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
14980 Issued in TX
Legal business name
MAXUS HEALTHCARE PARTNERS LLC
Doing business as
Renew Home Health
Practice address
1800 N Travis St Ste E
Sherman, TX 75092-3769
Phone
(903) 463-6700
Fax
(903) 463-6704
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Miss Penny Rivera, RN
Title
Director of QM/Compliance
Phone
(817) 921-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 14980 TX Primary

Addresses

Primary practice location

1800 N Travis St Ste E
Sherman, TX 75092-3769

Mailing address

1021 Washington Ave
Fort Worth, TX 76104-3021
Phone (817) 921-6400

Other names 1

  • Renew Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000084 TX Part A Provider - Home Health Agency 1759530264 Practice locations: Sherman, TX

Home health agency certification: CCN 679677

Legal name
MAXUS HEALTHCARE PARTNERS LLC
Doing business as
RENEW HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 18, 2007
Last certification
Jun 27, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1800 N Travis St
Ste E
Sherman, TX 75092-3769

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Renew Home HealthCCN 679677 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 18, 2007
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
45D1060101Renew Home Health1800 N Travis St Suite E, Sherman, TX 75092Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Maxus Healthcare Partners LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6382 Buffalo Gap Rd
Ste C
Abilene, TX 79606
Phone (325) 692-9100

514 W Walker St
Breckenridge, TX 76424
Phone (817) 921-6400

1001 W Main St
Ste 106
Denison, TX 75020
Phone (903) 463-6700

1021 Washington Ave
Fort Worth, TX 76104
Phone (817) 921-2020

410 S Morgan St
Granbury, TX 76048

1800 N Travis St
Ste E
Sherman, TX 75092
Phone (903) 463-6700

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
Stevan Hammond Individual 5% Or Greater Direct Ownership InterestCeo Apr 24, 2012 100%
Corporate OfficerCeo Apr 24, 2012 50%
W-2 Managing EmployeeCeo Apr 24, 2012 10%
Operational/Managerial ControlCeo Apr 24, 2012 25%
Philip Criswell Individual Corporate OfficerCoo/ Admin Jul 25, 2017 25%
W-2 Managing EmployeeCoo/ Admin Jul 25, 2017 50%
Operational/Managerial ControlCoo/Admin Jul 25, 2017 50%
Johanna Ray Individual Corporate OfficerAlternate Administrator Jun 12, 2019 25%
Corporate DirectorDirector of Nursing Jun 1, 2016 100%
W-2 Managing EmployeeAltern Admin Jul 25, 2017 40%
Operational/Managerial ControlDirector of Nursing/Alternate Admin Jul 25, 2017 25%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Renew Home HealthDenton, TX, CCN 747251 Home health agency Operational/Managerial Control (100%) Jul 9, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1801152905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WASHINGTON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043021",
            "telephone_number": "817-921-6400",
            "fax_number": "817-921-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N TRAVIS ST STE E",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923769",
            "telephone_number": "903-463-6700",
            "fax_number": "903-463-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "DIRECTOR OF QM/COMPLIANCE",
        "authorized_official_telephone_number": "817-921-6400",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.