Active NPI
Homeland Home Health Agency Inc
- Home Health Agency
- Garland, TX
National Provider Identifier
1003926544
On this page
- Key facts
- Authorized official
- Affiliated clinicians3
- Care Compare: Home health agency
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties1
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Garland, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009865
- Legal business name
- HOMELAND HOME HEALTH AGENCY INC
- Practice address
- 1919 S Shiloh Rd
Ste 515
Garland, TX 75042-8234 - Phone
- (972) 278-7213
- Fax
- (972) 278-7163
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Joseph Kimunai, RN, BSN
- Title
- Administrator
- Phone
- (972) 278-7213
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Homeland Home Health Agency Inc
- Ownership
- Proprietary
- Certified
- Mar 6, 2006
- 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 |
|---|---|---|---|
| 45D1042259 | Homeland Home Health Agency | Certificate of waiver | Jun 22, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080611000592 | TX | Part A Provider - Home Health Agency | 9133290695 | Practice locations: Garland, TX |
Home health agency certification: CCN 677825
- Legal name
- HOMELAND HOME HEALTH AGENCY INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 6, 2006
- Last certification
- Mar 8, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 7, 2007 in TX
- Enrollment address
- 1919 South Shiloh
Suite 515
Garland, TX 75042-8901
All disclosed owners & managing parties 1
Medicare enrollment filesAs 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 |
|---|---|---|---|
| Joseph Kimunai | 5% Or Greater Direct Ownership Interest | Oct 3, 2007 | 100% |
| Corporate Officer | May 7, 2007 | 100% | |
| Operational/Managerial Control | May 7, 2007 | 100% |
National Provider Directory
National Provider DirectoryLocations
1919 S Shiloh Rd
Ste 15
Garland, TX 75042
Phone (972) 278-7213
1919 S Shiloh Rd
Ste 515
Garland, TX 75042
Phone (469) 274-8495
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009865 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1919 S Shiloh Rd
Ste 515
Garland, TX 75042-8234
Mailing address
1919 S Shiloh Rd
Ste 515
Garland, TX 75042-8234
Phone (972) 278-7213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2008.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1003926544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S SHILOH RD",
"address_2": "STE 515",
"city": "GARLAND",
"state": "TX",
"postal_code": "750428234",
"telephone_number": "972-278-7213",
"fax_number": "972-278-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S SHILOH RD",
"address_2": "STE 515",
"city": "GARLAND",
"state": "TX",
"postal_code": "750428234",
"telephone_number": "972-278-7213",
"fax_number": "972-278-7163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMELAND HOME HEALTH AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "KIMUNAI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-278-7213",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.