Organization Active NPI

Apicon Home Health Agency , Inc

  • Home Health Agency
  • Round Rock, TX
National Provider Identifier
1841244258
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007626 Issued in TX
Legal business name
APICON HOME HEALTH AGENCY , INC
Practice address
1850 Round Rock Avenue
Round Rock, TX 78681-4024
Phone
(512) 249-0899
Fax
(512) 249-0892
NPI assigned
May 20, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mrs. Cecilia A Obilom, RN
Title
Don/Admin
Phone
(512) 249-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007626 TX Primary

Addresses

Primary practice location

1850 Round Rock Avenue
Round Rock, TX 78681-4024

Mailing address

1850 Round Rock Avenue
Round Rock, TX 78681-4024
Phone (512) 249-0899

Other identifiers 3

IdentifierTypeStateIssuer
14799821MedicaidTX
007626OtherTXLICENSE
147998201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060725000158 TX Part A Provider - Home Health Agency 7517970296 Practice locations: Round Rock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841244258. Details of each certification follow.

Home health agency certification: CCN 679088

Legal name
APICON HOME HEALTH AGENCY , INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 26, 2001
Last certification
May 31, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2001 in TX
Enrollment address
1850 Round Rock Avenue
Round Rock, TX 78681-4024

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apicon Home Health Agency IncCCN 679088 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 26, 2001
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
45D0990554Apicon Home Health Agency Inc1850 Round Rock Ave, Round Rock, TX 78681Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

13279 Pond Springs Rd
Ste 34
Austin, TX 78729
Phone (512) 249-0899

1850 Round Rock Ave
Round Rock, TX 78681
Phone (512) 249-0899

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
Philip Obilom Individual 5% Or Greater Direct Ownership Interest Jun 25, 2012 45%
Corporate OfficerCfo Jun 25, 2012
Corporate DirectorCfo Jun 25, 2012
W-2 Managing EmployeeCfo Jun 25, 2012
Cecilia Obilom Individual 5% Or Greater Direct Ownership Interest Feb 1, 2001 55%
General Partnership InterestAdministrator / Don Mar 1, 2001 55%
Corporate OfficerAdministractor/Don Mar 1, 2001 100%
Corporate DirectorAdministractor/Don Mar 1, 2001 55%
W-2 Managing EmployeeAdministractor/Don Mar 2, 1968 55%
Operational/Managerial ControlAdministractor/Don Mar 1, 2001 100%
Apicon Home Health Agency , Inc Organization, Austin, TX For-profit 5% Or Greater Security Interest Jun 25, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1841244258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ROUND ROCK AVENUE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814024",
            "telephone_number": "512-249-0899",
            "fax_number": "512-249-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROUND ROCK AVENUE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814024",
            "telephone_number": "512-249-0899",
            "fax_number": "512-249-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APICON HOME HEALTH AGENCY , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "OBILOM",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DON/ADMIN",
        "authorized_official_telephone_number": "512-249-0899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14799821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "007626",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147998201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.