Organization Active NPI

Verge Home Care,LLC

  • Home Health Agency
  • Edinburg, TX
National Provider Identifier
1902823800
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010293 Issued in TX
Legal business name
VERGE HOME CARE,LLC
Practice address
4622 S Closner Blvd
Edinburg, TX 78539-7279
Phone
(956) 287-7575
Fax
(956) 287-7979
NPI assigned
Jul 16, 2006
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Sedat Necipoglu
Title
Administrator
Phone
(956) 287-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010293 TX Primary

Addresses

Primary practice location

4622 S Closner Blvd
Edinburg, TX 78539-7279

Mailing address

4622 S Closner Blvd
Edinburg, TX 78539-7279
Phone (956) 287-7575

Other identifiers 1

IdentifierTypeStateIssuer
010293OtherTXSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061206000151 TX Part A Provider - Home Health Agency 8729002852 Practice locations: Edinburg, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902823800. Details of each certification follow.

Home health agency certification: CCN 679567

Legal name
VERGE HOME CARE,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2006
Last certification
Feb 27, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 23, 2005 in TX
Enrollment address
4622 S Business Highway 281
Edinburg, TX 78539-7279

Care Compare: Home health agency

Medicare Care Compare
Listed as
Verge Home Care LLCCCN 679567 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4013 S Sugar Rd
Edinburg, TX 78539
Phone (956) 287-7575

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
Onder Ari Individual 5% Or Greater Direct Ownership Interest Nov 23, 2005 50%
Corporate Director Sep 25, 2006
W-2 Managing Employee Nov 23, 2005
Sedat Necipoglu Individual 5% Or Greater Direct Ownership Interest Nov 23, 2005 50%
Corporate Director Jul 5, 2006
W-2 Managing Employee Nov 23, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1902823800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397279",
            "telephone_number": "956-287-7575",
            "fax_number": "956-287-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397279",
            "telephone_number": "956-287-7575",
            "fax_number": "956-287-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERGE HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "NECIPOGLU",
        "authorized_official_first_name": "SEDAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-287-7575"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "010293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.