NPIMap

Organization Active NPI

Maboro Healthcare Services Inc

Doing business as Allumine Home Health

  • Home Health Agency
  • College Station, TX
National Provider Identifier
1881995710
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MABORO HEALTHCARE SERVICES INC
Doing business as
Allumine Home Health
Practice address
1146 Midtown Dr
College Station, TX 77845-2719
Phone
(979) 704-6684
Fax
(979) 704-6690
NPI assigned
Nov 9, 2010
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Carlos F Hernandez
Title
Cfo
Phone
(979) 704-6684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1146 Midtown Dr
College Station, TX 77845-2719

Mailing address

1146 Midtown Dr
College Station, TX 77845-2719
Phone (979) 704-6684

Other names 1

  • Allumine Home Health Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address carlos@alluminehealth.com
Direct Messaging Address carlos@alluminehealth.com
CONNECT URL Wellsky

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110622000209 TX Part A Provider - Home Health Agency 6002094018 Practice locations: College Station, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881995710. Details of each certification follow.

Home health agency certification: CCN 747725

Legal name
MABORO HEALTHCARE SERVICES INC
Doing business as
ALLUMINE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 2012
Last certification
Apr 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 27, 2010 in TX
Enrollment address
1146 Midtown Dr
College Station, TX 77845-2719

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allumine Home HealthCCN 747725 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 21, 2012
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
45D2028020Maboro Healthcare Services Inc Dba1146 Midtown Dr, College Station, TX 77845Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Locations

1146 Midtown Dr
College Station, TX 77845
Phone (979) 704-6684

4030 State Highway 6 S
Ste 350
College Station, TX 77845

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
Carlos Hernandez Individual Contracted Managing EmployeeAd; Feb 13, 2020
5% Or Greater Direct Ownership InterestPresident/Ceo Sep 1, 2022 50%
Corporate OfficerSecretary Feb 13, 2020 50%
Operational/Managerial ControlCeo Feb 11, 2019 50%
Elias Hernandez Individual Contracted Managing EmployeeSupervising Nurse Feb 13, 2020
5% Or Greater Direct Ownership Interest Sep 1, 2022 50%
Corporate OfficerVice President/Coo Feb 13, 2020 50%
Operational/Managerial ControlSupervising Nurse Feb 11, 2019 50%
Rickie Moore Individual W-2 Managing EmployeeAd; Feb 2, 2023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1881995710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 MIDTOWN DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452719",
            "telephone_number": "979-704-6684",
            "fax_number": "979-704-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 MIDTOWN DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452719",
            "telephone_number": "979-704-6684",
            "fax_number": "979-704-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABORO HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "979-704-6684"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos@alluminehealth.com",
            "affiliation": "N",
            "address_1": "4030 State Highway 6 S Ste 350",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778451805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos@alluminehealth.com",
            "affiliation": "N",
            "address_1": "4030 State Highway 6 S Ste 350",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778451805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellsky",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "4030 State Highway 6 S Ste 350",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778451805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allumine Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.