NPIMap

Organization Active NPI

Halcyon Home LLC

  • Community Based Hospice Care Agency
  • Austin, TX
National Provider Identifier
1962825547
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
014688 Issued in TX
Legal business name
HALCYON HOME LLC
Practice address
8133 Mesa Dr
Suite 200
Austin, TX 78759-8655
Phone
(512) 815-9009
NPI assigned
Feb 1, 2014
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Amy SweetNPI 1689616591
Title
Ceo
Phone
(512) 815-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 014688 TX Primary

Addresses

Primary practice location

8133 Mesa Dr
Suite 200
Austin, TX 78759-8655

Mailing address

8133 Mesa Dr
Suite 200
Austin, TX 78759-8655
Phone (512) 815-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140411001184 TX Part A Provider - Hospice 4688806433 Practice locations: Austin, TX
O20210524002828 TX Part B Supplier - Clinic/Group Practice 4688806433 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962825547. Details of each certification follow.

Hospice certification: CCN 741538

Legal name
HALCYON HOME LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 30, 2014
Last certification
Aug 19, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
8133 Mesa Dr
Ste 200
Austin, TX 78759-8655

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Halcyon Home LLCCCN 741538 · All quality measures
Ownership
For-Profit
Certified
Jul 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Halcyon Home LLC2 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.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

8133 Mesa Dr
Ste 100
Austin, TX 78759
Phone (512) 815-9009

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
Amy E Sweet Individual 5% Or Greater Direct Ownership Interest Jun 14, 2016 100%
Corporate DirectorBoard Director Jun 1, 2015
W-2 Managing EmployeeCeo Jun 1, 2015
Operational/Managerial ControlCeo Jun 1, 2015
Tanya Louise Roberts Individual W-2 Managing EmployeeAd; Jan 1, 2024
Wendy S Lankford Individual Contracted Managing EmployeeMD; Jan 1, 2024

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reliable Home Health ServicesWaco, TX, CCN 743146 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 21, 2021
Halcyon Home LLCAustin, TX, CCN 747931 Home health agency Operational/Managerial Control (100%) Nov 18, 2011
Halcyon HomeSan Marcos, TX, CCN 457094 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 11, 2019
Halcyon HomeSan Marcos, TX, CCN 971605 Hospice 5% Or Greater Indirect Ownership Interest (100%) Nov 1, 2019
Halcyon HomeWaco, TX, CCN A91525 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 27, 2020
Feb 27, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

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 3

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": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1962825547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-815-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 MESA DR",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598655",
            "telephone_number": "512-815-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-815-9009"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "014688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.