NPIMap

Organization Active NPI

Calvert Home Health Care, LLC

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1801866306
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009509 Issued in TX
Legal business name
CALVERT HOME HEALTH CARE, LLC
Practice address
10207 Indiana Ave
Lubbock, TX 79423-4909
Phone
(806) 747-8972
Fax
(806) 762-0905
NPI assigned
Jan 25, 2006
Last updated
Dec 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Mrs. Karen E Vahlberg
Title
Ceo
Phone
(405) 329-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009509 TX Primary

Addresses

Primary practice location

10207 Indiana Ave
Lubbock, TX 79423-4909

Mailing address

2411 Springer Dr
Norman, OK 73069-3955
Phone (405) 329-4545

Other identifiers 1

IdentifierTypeStateIssuer
024484001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041210000284 TX Part A Provider - Home Health Agency 9133186281 Practice locations: Lubbock, TX; Petersburg, TX; Littlefield, TX; Lamesa, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801866306. Details of each certification follow.

Home health agency certification: CCN 677109

Legal name
CALVERT HOME HEALTH CARE, LLC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 1987
Last certification
May 12, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 19, 2018 in TX
Enrollment address
10207 Indiana Ave
Lubbock, TX 79423-4909

Care Compare: Home health agency

Medicare Care Compare
Listed as
Calvert Home Health Care, LLCCCN 677109 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 21, 1987
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

1607 N Bryan Ave
Lamesa, TX 79331
Phone (806) 712-1110

913 Phelps Ave
Littlefield, TX 79339
Phone (806) 385-1904

3026 54th St
Apt 314
Lubbock, TX 79413
Phone (803) 793-2662

5301 66th St
Rm 1000
Lubbock, TX 79424
Phone (806) 783-8878

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
John Murta Individual Corporate DirectorCoo Oct 1, 2018
The Deaconess Associations Inc Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2018 75%
5% Or Greater Security Interest Oct 8, 2018 75%
Karen E Vahlberg Individual 5% Or Greater Indirect Ownership InterestCeo, Manager Oct 1, 2018 25%
Corporate DirectorGoverning Body Oct 1, 2018
W-2 Managing EmployeeCeo Oct 8, 2018
Deaconess Healthcare Holdings, Inc. Organization, Cincinnati, OH Corporation, Holding company 5% Or Greater Indirect Ownership Interest Oct 1, 2018 75%
Ernest a Woods Individual Corporate DirectorChairman of the Board Oct 1, 2018
Lifespring Home Care and Hospice, LLC Organization, Norman, OK LLC, Holding company 5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
Operational/Managerial Control Oct 8, 2018 100%

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1801866306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SPRINGER DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693955",
            "telephone_number": "405-329-4545",
            "fax_number": "405-310-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234909",
            "telephone_number": "806-747-8972",
            "fax_number": "806-762-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "VAHLBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-329-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024484001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.