The Potter's Healthcare Services – Home Health Agency, NPI 1003862947

The Potter's Healthcare Services is a healthcare provider. based in Lewisville, Texas. specializing in Home Health Agency. The organization holds a License No. 009725 (TX). The NPI Number for The Potter's Healthcare Services is 1003862947

Main info

Organization
Name
The Potter's Healthcare Services
NPI
1003862947
Phone
(972) 459-9999
Address
860 Hebron Pkwy
Authorized Official
KEHINDE ROMOKE AMOSUN ADMINISTRATOR/DON RN
Enumeration Date
25 May 2006
Last Update Date
5 April 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for The Potter's Healthcare Services

  • 860 Hebron Pkwy

    Suite 501

    Lewisville, TX 750575003

    Phone: (972) 459-9999

    Fax: (972) 315-2065

    Type: Location

  • South Stemmons Freeway, Lewisville, Denton County, Texas, 75067, United States

    LEWISVILLE, TX 750675351

    Phone: (972) 459-9999

    Fax: (972) 315-2065

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-01-31 (131 days ago).

Enrollment records

1

Earliest due date

2026-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040525001352OHome Health AgencyTX2026-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75057)

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Reviews

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Frequently asked questions

What is The Potter's Healthcare Services's NPI number?
The Potter's Healthcare Services's NPI is 1003862947 — the number used across U.S. healthcare to identify this provider.
Is there an active status for The Potter's Healthcare Services?
For scheduling context, The Potter's Healthcare Services is shown as active in the registry.
What kind of doctor is The Potter's Healthcare Services?
The Potter's Healthcare Services is associated with Home Health Agency in the directory — Clinical services aligned with this taxonomy classification.
Is The Potter's Healthcare Services located near Lewisville?
The Potter's Healthcare Services currently maps to Lewisville, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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