Active NPI
Advanced Care Home Health, LLC
- Home Health Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADVANCED CARE HOME HEALTH, LLC
- Practice address
- 950 Echo LN # 200-23
Houston, TX 77024-2756 - Phone
- (713) 239-1141
- Fax
- (713) 583-5315
- NPI assigned
- Dec 12, 2019
- Last updated
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Carlos Mazorra
- Title
- Administrator
- Phone
- (713) 239-1141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
950 Echo LN # 200-23
Houston, TX 77024-2756
Mailing address
950 Echo LN # 200-23
Houston, TX 77024-2756
Phone (713) 239-1141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210921002663 | TX | Part A Provider - Home Health Agency | 0345647137 | Practice locations: Houston, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972141778. Details of each certification follow.
Home health agency certification: CCN 748006
- Legal name
- ADVANCED CARE HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 21, 2020
- Last certification
- Dec 21, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 21, 2019 in TX
- Enrollment address
- 950 Echo LN
# 200-23
Houston, TX 77024-2756
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Advanced Care Home Health, LLC.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 21, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2199852 | Advanced Care Home Health, LLC | Certificate of waiver | Nov 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
950 Echo Ln
#20023
Houston, TX 77024
Phone (713) 239-1141
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Juan Mazorra | 5% Or Greater Direct Ownership Interest | Nov 22, 2019 | 37.5% |
| Santiago Franco | 5% Or Greater Direct Ownership Interest | Nov 22, 2019 | 10% |
| W-2 Managing Employee | Jun 1, 2020 | 10% | |
| Clelia Mazorra | 5% Or Greater Direct Ownership Interest | Nov 22, 2019 | 15% |
| Robert Gholson | 5% Or Greater Direct Ownership Interest | Nov 22, 2019 | 37.5% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1073825295
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1972141778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 ECHO LN # 200-23",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242756",
"telephone_number": "713-239-1141",
"fax_number": "713-583-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 ECHO LN # 200-23",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242756",
"telephone_number": "713-239-1141",
"fax_number": "713-583-5315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-12",
"last_updated": "2023-05-04",
"certification_date": "2023-04-19",
"status": "A",
"authorized_official_last_name": "MAZORRA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-239-1141"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Advanced Ambulatory, Inc. (AAI - Advanced In Healthcare)
- Advanced Arm Dynamics of Houston LLC
- Advanced Assistant Surgery, PLLC
- Advanced Behavioral Health Care Services, Inc.
- Advanced Cardiac Care Association
- Advanced Chiropractic Clinic PC
- Advanced Dental Professional Association (TriStar Dental)
- Advanced Dental Professional Association (TriStar Dental)
- Advanced Dermatologic Surgery PA
- Advanced Diagnostic Foot & Ankle Specialists of Cy-Fair
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.