Organization Active NPI

Harbor Home Health LP

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1891009700
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013794 Issued in TX
Legal business name
HARBOR HOME HEALTH LP
Practice address
11980 Kirby Dr Ste 120
Houston, TX 77045-4860
Phone
(713) 413-5292
Fax
(281) 929-0678
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Karen Carter
Title
Exec Admin Assistant
Phone
(409) 730-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013794 TX Primary

Addresses

Primary practice location

11980 Kirby Dr Ste 120
Houston, TX 77045-4860

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 730-2022

Other identifiers 2

IdentifierTypeStateIssuer
013794OtherTXTXDADS
45D2022393OtherCLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000772 TX Part A Provider - Home Health Agency 2668645441 Practice locations: Houston, TX

Home health agency certification: CCN 747816

Legal name
HARBOR HOME HEALTH LP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 6, 2012
Last certification
Aug 5, 2021
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Dec 29, 2010 in TX
Enrollment address
11980 Kirby Dr
Ste 120
Houston, TX 77045-4860

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harbor Home Health LPCCN 747816
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 6, 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
45D2230136Harbor Home Health LP11980 Kirby Drive, Suite 120, Houston, TX 77045Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Harbor Home Health LP7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 James Bowie Dr
Ste D110
Baytown, TX 77520
Phone (281) 427-3727

11980 Kirby Dr
Ste 120
Houston, TX 77045
Phone (713) 413-5292

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Carter Individual Operational/Managerial Control Feb 1, 2019
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest May 28, 2010 99%
Limited Partnership Interest May 28, 2010 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest May 28, 2010 1%
Operational/Managerial Control May 28, 2010
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestManaging Partner May 28, 2010 50%
Limited Partnership InterestManaging Partner May 28, 2010 49.5%
Operational/Managerial ControlManaging Partner May 28, 2010
OtherManaging Partner May 28, 2010 0.5%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner May 28, 2010 50%
Limited Partnership InterestLimited Partner May 28, 2010 49.5%
Other May 28, 2010 0.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1891009700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-730-2022",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 KIRBY DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454860",
            "telephone_number": "713-413-5292",
            "fax_number": "281-929-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOME HEALTH LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASSISTANT",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXDADS",
            "identifier": "013794",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2022393",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.