Organization Active NPI

PHCS II Inc

Doing business as Premier Health Care Services II

  • Home Health Agency
  • Hurst, TX
National Provider Identifier
1871786186
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IICCN 679151 · All quality measures
Ownership
Proprietary
Certified
Aug 19, 2002
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
45D1095369Premier Health Care Services II815 Trailwood Drive Suite 120, Hurst, TX 76053Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
PHCS II Inc2 organizations share this tax ID, including this one

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.

NameRoleSinceShare
Patricia Henderson Individual 5% Or Greater Direct Ownership Interest Sep 17, 2007 50%
Corporate OfficerCeo May 24, 2007
Corporate Director Sep 17, 2007
W-2 Managing EmployeeAlternate Admin Sep 17, 2007
Franklin Hunter Individual 5% Or Greater Direct Ownership InterestOwner May 24, 2007 50%
Corporate OfficerCfo May 24, 2007
Corporate DirectorVP Sep 17, 2007
W-2 Managing EmployeeAdmin 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

Verify at the official NPI Registry.