Active NPI
County of Clay
Doing business as Clay County Home Health Care
- Home Health Agency
- Henrietta, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 002151
- Legal business name
- COUNTY OF CLAY
- Doing business as
- Clay County Home Health Care
- Practice address
- 305 S Archer St
Henrietta, TX 76365-3301 - Phone
- (940) 235-1274
- Fax
- (940) 235-1280
- NPI assigned
- Aug 1, 2006
- Last updated
- Aug 17, 2015
- 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
- Mrs. Fran Grundy, LVN
- Title
- Director
- Phone
- (940) 538-5621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 002151 | TX | Primary |
Addresses
Primary practice location
305 S Archer St
Henrietta, TX 76365-3301
Mailing address
310 W South St
Henrietta, TX 76365-3346
Phone (940) 538-5621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K06772775 | Medicaid | TX |
Other names 1
- Clay County Home Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120412000308 | TX | Part A Provider - Home Health Agency | 4981689783 | Practice locations: Henrietta, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801803267. Details of each certification follow.
Home health agency certification: CCN 677277
- Legal name
- COUNTY OF CLAY
- Doing business as
- CLAY COUNTY HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 19, 1990
- Last certification
- Dec 4, 2018
- Ownership / control type
- Government Operated
- Organization structure
- Government
- Incorporated
- Nov 1, 1947 in TX
- Enrollment address
- 310 W South St
Henrietta, TX 76365-3346
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Clay County Memorial Hospital
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
4981689783
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
4981689783
-
dba Clay County Memorial Hospital
- Surgery Physician
- Henrietta, TX
- NPI 1639340748
4981689783
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Clay County Home Health Care
- Ownership
- Government Operated
- Certified
- Sep 19, 1990
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Clay County Memorial Ho
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Henrietta, TX
- NPI 1144236472
-
- Emergency Medical Services (Emergency Medicine) Physician
- Henrietta, TX
- NPI 1609932086
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
-
dba Clay County Memorial Hospital
- Critical Access Hospital Clinic/Center
- Henrietta, TX
- NPI 1881175776
Locations
305 S Archer St
Henrietta, TX 76365
Phone (903) 288-7596
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 |
|---|---|---|---|
| Tonya R Cowling | W-2 Managing Employee | Dec 1, 2023 | |
| Barbara Schultz | W-2 Managing Employee | Dec 1, 2023 | |
| County of Clay | 5% Or Greater Direct Ownership Interest | Jan 1, 2002 | 100% |
| Operational/Managerial Control | Jan 1, 2002 | ||
| Other | Jan 1, 2002 | 100% | |
| Debra Haehn | Corporate Director | Aug 18, 2015 | |
| W-2 Managing Employee | Aug 18, 2015 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Clay County Memorial Hospital
- Ambulance
- Henrietta, TX
- NPI 1093832784
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other
-
dba Clay County Memorial Hospital
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other
-
dba Clay County Memorial Hospital
- Surgery Physician
- Henrietta, TX
- NPI 1639340748
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Clay County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest | Oct 28, 2009 |
| Clay County Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest | Oct 28, 2009 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Clay County Memorial Hospital
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
5% Or Greater Direct Ownership Interest
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
5% Or Greater Direct Ownership Interest
-
dba Clay County Memorial Hospital
- Surgery Physician
- Henrietta, TX
- NPI 1639340748
5% Or Greater Direct Ownership Interest
-
dba Clay County Memorial Hospital
- Critical Access Hospital Clinic/Center
- Henrietta, TX
- NPI 1881175776
5% Or Greater Direct Ownership Interest
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Clay County Memorial Hospital
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
County of Clay
-
dba Clay County Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Henrietta, TX
- NPI 1518023993
County of Clay
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Henrietta, TX
- NPI 1346686383
Home health agency
-
- Family Medicine Physician
- Lowell, MA
- NPI 1578705679
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439769600000",
"number": "1801803267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W SOUTH ST",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763653346",
"telephone_number": "940-538-5621",
"fax_number": "940-235-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S ARCHER ST",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763653301",
"telephone_number": "940-235-1274",
"fax_number": "940-235-1280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF CLAY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2015-08-17",
"status": "A",
"authorized_official_last_name": "GRUNDY",
"authorized_official_first_name": "FRAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "940-538-5621",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "002151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K06772775",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clay County Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Henrietta, TX
- County of Clay (CCMH Clinics)
- County of Clay (Clay County Memorial Hospital)
- County of Clay (Clay County Memorial Hospital)
- County of Clay (Clay County Memorial Hospital)
- County of Clay (Clay County Memorial Hospital)
- County of Clay (Clay County Memorial Hospital)
- David E Sears, DDS (Henrietta Family Dentistry)
- Cassie Dennis, LVN
- Discovery Medical Network Henrietta LLC (Discovery Medical Network Henrietta)
- Thomas Wayne Distel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.