Organization Active NPI

H-Town Healthcare, LLC

  • Home Health Agency
  • Pearland, TX
National Provider Identifier
1962852046
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
H-TOWN HEALTHCARE, LLC
Practice address
1920 Country Place Pkwy Ste 310
Pearland, TX 77584-2288
Phone
(713) 230-8329
Fax
(713) 400-8081
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Ms. Ladona McCoy
Title
President/Managing Member
Phone
(713) 400-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1920 Country Place Pkwy Ste 310
Pearland, TX 77584-2288

Mailing address

2656 South Loop West
Suite 345
Houston, TX 77054
Phone (713) 400-8080

Other names 1

  • Interim HealthCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160919000547 TX Part A Provider - Home Health Agency 2961794474 Practice locations: Pearland, TX

Home health agency certification: CCN 747159

Legal name
H-TOWN HEALTHCARE LLC
Doing business as
INTERIM HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2009
Last certification
Mar 11, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 17, 2015 in TX
Enrollment address
1920 Country Place Pkwy
Suite 310
Pearland, TX 77584-2288

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: Home health agency

Medicare Care Compare
Listed as
Interim HealthcareCCN 747159
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Sep 14, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
H-Town Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Zachary McCoy Individual 5% Or Greater Indirect Ownership Interest Jul 18, 2016 24.36%
Corporate OfficerManaging Member Jul 18, 2016
H-Town Healthcare LLC Organization, Pearland, TX LLC 5% Or Greater Direct Ownership Interest Jul 18, 2016 100%
Jacob McCoy Individual 5% Or Greater Indirect Ownership InterestAdministrator Jul 18, 2016 26.04%
Corporate OfficerManaging Member Jul 18, 2016
La Dona McCoy Individual 5% Or Greater Indirect Ownership Interest Jul 18, 2016 33.6%
Corporate OfficerPresident Jul 18, 2016
Operational/Managerial Control Jul 18, 2016 33.6%
Jmy Capital LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Jun 13, 2019 6%
Ryan McCoy Individual 5% Or Greater Indirect Ownership Interest Jun 13, 2019 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 1

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

Change-of-ownership history 1

DateEventCounterparty
Jul 18, 2016 Change of OwnershipThis provider was the buyer Baraton Health Care ServicesCCN 747159, TX, NPI 1376633024

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1962852046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 SOUTH LOOP WEST",
            "address_2": "SUITE 345",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-400-8080",
            "fax_number": "713-400-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COUNTRY PLACE PKWY STE 310",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842288",
            "telephone_number": "713-230-8329",
            "fax_number": "713-400-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-TOWN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LADONA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING MEMBER",
        "authorized_official_telephone_number": "713-400-8080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.