D-Life Healthcare Services,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

D-LIFE HEALTHCARE SERVICES,INC

Practice address

2027 North Mason Road
Ste 303
Katy, TX 77449-3778

Phone

(281) 693-0505

Fax

(281) 693-0509

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dickson A Fatunbi

Title

Administrator

Phone

(281) 693-0505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• D-LIFE HEAL7#CARE SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 457897

Legal name

D-LIFE HEALTHCARE SERVICES,INC

Doing business as

D-LIFE HEALTH CARE SERVICE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 12, 2005

Last certification

Feb 7, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 19, 2003 in TX

Enrollment address

2027 N Mason Rd
Ste 303
Katy, TX 77449-3778

Listed as

D Life Healthcare Services IncCCN 457897

Ownership

Proprietary

Certified

Oct 12, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1003851700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 NORTH MASON ROAD",
            "address_2": "STE 303",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493778",
            "telephone_number": "281-693-0505",
            "fax_number": "281-693-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 NORTH MASON ROAD",
            "address_2": "STE 303",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493778",
            "telephone_number": "281-693-0505",
            "fax_number": "281-693-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-LIFE HEALTHCARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "FATUNBI",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-693-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216404801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216404802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D-LIFE HEAL7#CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Katy, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.