Active NPI
PHCS II Inc
Doing business as Premier Health Care Services II
- Home Health Agency
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHCS II INC
- Doing business as
- Premier Health Care Services II
- Practice address
- 815 Trailwood Dr
Suite 120
Hurst, TX 76053-4940 - Phone
- (817) 285-8100
- Fax
- (817) 285-8165
- NPI assigned
- Aug 20, 2007
- Last updated
- Jul 21, 2017
- 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
- Mr. Franklin R Hunter
- Title
- Administrator
- Phone
- (817) 285-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
815 Trailwood Dr
Suite 120
Hurst, TX 76053-4940
Mailing address
1001 S Catherine St
Terrell, TX 75160-4517
Phone (866) 892-8388
Other names 1
- PREMIER HEALTH CARE SERVICES II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080828000493 | TX | Part A Provider - Home Health Agency | 2466528369 | Practice locations: Hurst, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871786186. Details of each certification follow.
Home health agency certification: CCN 679151
- Legal name
- PHCS II INC
- Doing business as
- PREMIER HEALTH CARE SERVICES II
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 19, 2002
- Last certification
- Dec 20, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 24, 2007 in TX
- Enrollment address
- 815 Trailwood Dr 120
Hurst, TX 76053-4976
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Premier Health Care Services II
- Ownership
- Proprietary
- Certified
- Aug 19, 2002
- 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 |
|---|---|---|---|
| 45D1095369 | Premier Health Care Services II | Certificate of waiver | Jan 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- PHCS II Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
815 Trailwood Dr
Ste 120
Hurst, TX 76053
Phone (817) 285-8100
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Patricia Henderson | 5% Or Greater Direct Ownership Interest | Sep 17, 2007 | 50% |
| Corporate Officer | May 24, 2007 | ||
| Corporate Director | Sep 17, 2007 | ||
| W-2 Managing Employee | Sep 17, 2007 | ||
| Franklin Hunter | 5% Or Greater Direct Ownership Interest | May 24, 2007 | 50% |
| Corporate Officer | May 24, 2007 | ||
| Corporate Director | Sep 17, 2007 | ||
| W-2 Managing Employee | Sep 17, 2007 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500595200000",
"number": "1871786186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S CATHERINE ST",
"city": "TERRELL",
"state": "TX",
"postal_code": "751604517",
"telephone_number": "866-892-8388",
"fax_number": "972-421-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 TRAILWOOD DR",
"address_2": "SUITE 120",
"city": "HURST",
"state": "TX",
"postal_code": "760534940",
"telephone_number": "817-285-8100",
"fax_number": "817-285-8165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHCS II INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2017-07-21",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-285-8100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER HEALTH CARE SERVICES II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.