Organization Active NPI

Lipet Home Care Inc

  • Nursing Care Agency
  • Arlington, TX
National Provider Identifier
1932107786
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
LIPET HOME CARE INC
Practice address
2012 E Randol Mill Rd Ste 201
Arlington, TX 76011-8222
Phone
(817) 794-5959
Fax
(817) 794-0999
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mrs. Pet Ebere Anamege, RN, BSN
Title
Administrator
Phone
(817) 794-5959

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X 010363 TX
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

2012 E Randol Mill Rd Ste 201
Arlington, TX 76011-8222

Mailing address

2008 E Randol Mill Rd
Suite 115
Arlington, TX 76011-8205
Phone (817) 794-5959

Other practice location 1

2008 E Randol Mill Rd
Suite 115
Arlington, TX 76011-8205
Phone (817) 794-5959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000493 TX Part A Provider - Home Health Agency 4082617956 Practice locations: Arlington, TX

Home health agency certification: CCN 679319

Legal name
LIPET HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 2003
Last certification
Apr 29, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2012 E Randol Mill Rd
Ste 201
Arlington, TX 76011-8222

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lipet Home Care IncCCN 679319 · All quality measures
Ownership
Proprietary
Certified
Aug 11, 2003
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
45D1010341Lipet Home Care2008 E Randol Mill Road, Suite 115, Arlington, TX 76011Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

2012 E Randol Mill Rd
Ste 201
Arlington, TX 76011
Phone (817) 794-5959

2008 E Randol Mill Rd
Ste 115
Arlington, TX 76011
Phone (817) 794-5959

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
Edith I Abengowe Individual W-2 Managing EmployeeAlternate Administrator/Alt Don May 4, 2022
Pet Anamege Individual 5% Or Greater Direct Ownership Interest Jan 1, 2006 100%
Corporate Director Jan 1, 2006
W-2 Managing Employee Jan 1, 2006

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1932107786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 E RANDOL MILL RD",
            "address_2": "SUITE 115",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118205",
            "telephone_number": "817-794-5959",
            "fax_number": "817-594-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 E RANDOL MILL RD STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118222",
            "telephone_number": "817-794-5959",
            "fax_number": "817-794-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 E Randol Mill Rd",
            "address_2": "SUITE 115",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760118205",
            "country_code": "US",
            "telephone_number": "817-794-5959",
            "fax_number": "817-794-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIPET HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "ANAMEGE",
        "authorized_official_first_name": "PET",
        "authorized_official_middle_name": "EBERE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-794-5959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010363",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.