Active NPI
Apicon Home Health Agency , Inc
- Home Health Agency
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007626
- 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, 2012
- 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. Cecilia A Obilom, RN
- Title
- Don/Admin
- Phone
- (512) 249-0899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14799821 | Medicaid | TX | |
| 007626 | Other | TX | LICENSE |
| 147998201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 26, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 45D0990554 | Apicon Home Health Agency Inc | Certificate of waiver | Aug 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Philip Obilom | 5% Or Greater Direct Ownership Interest | Jun 25, 2012 | 45% |
| Corporate Officer | Jun 25, 2012 | ||
| Corporate Director | Jun 25, 2012 | ||
| W-2 Managing Employee | Jun 25, 2012 | ||
| Cecilia Obilom | 5% Or Greater Direct Ownership Interest | Feb 1, 2001 | 55% |
| General Partnership Interest | Mar 1, 2001 | 55% | |
| Corporate Officer | Mar 1, 2001 | 100% | |
| Corporate Director | Mar 1, 2001 | 55% | |
| W-2 Managing Employee | Mar 2, 1968 | 55% | |
| Operational/Managerial Control | Mar 1, 2001 | 100% | |
| Apicon Home Health Agency , Inc | 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
- Angelica Sarandi Anthony, PNP
- Anthos Care, LLC
- Anu Rose Antony
- Apc Pharmacy, PLLC (Advanced Rx Pharmacy 030)
- Apex Lonestar Healthcare Solutions Inc (Always Best Care Round Rock)
- Apicon Personal Care Assistant and Community Care Services Inc.
- Cynthia Apodaca
- Applied Living Solution LLC
- April Alaspa Counseling
- April Lopez and Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.