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Individual Healthcare Provider

Clarisse Masengo Mutombo

NPI Record: ActiveHome Health Aide
NPI1053693127
Hutto, Texas

Provider's NPPES record last updated: September 15, 2011

Overview

Entity Type
Individual Healthcare Provider
NPI
1053693127
Primary Specialty
Home Health Aide
Practice Location
Hutto, Texas
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 4:21 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Home Health Aide

    Nursing Service Related Providers

    Primary

    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

    Taxonomy code 374U00000X
  • Contractor

    Other Service Providers

    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

    Taxonomy code 171W00000X
  • Chore Provider

    Nursing Service Related Providers

    An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

    Taxonomy code 372500000X
  • Adult Companion

    Nursing Service Related Providers

    An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

    Taxonomy code 372600000X
  • Technician

    Attendant Care Provider

    Nursing Service Related Providers

    An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

    Taxonomy code 3747A0650X
  • Technician

    Personal Care Attendant

    Nursing Service Related Providers

    An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

    Taxonomy code 3747P1801X
  • Religious Nonmedical Practitioner

    Nursing Service Related Providers

    A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

    Taxonomy code 374K00000X

Practice Locations

Practice Location

150 Klattenhoff Ln

3204

Hutto, Texas 78634-4601

Phone: (917) 355-3458

Record Information

Enumeration Date
September 15, 2011
Provider's NPPES Record Last Updated
September 15, 2011
NPISignal NPPES Dataset
August 2026

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