Organization Active NPI

Homeland Home Health Agency Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1003926544
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009865 Issued in TX
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 IncCCN 677825
Ownership
Proprietary
Certified
Mar 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1042259Homeland Home Health Agency1919 South Shiloh Road Suite 515, Garland, TX 75042Certificate of waiverJun 22, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 files

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

NameRoleSinceShare
Joseph Kimunai Individual 5% Or Greater Direct Ownership Interest Oct 3, 2007 100%
Corporate Officer May 7, 2007 100%
Operational/Managerial ControlAdministrator May 7, 2007 100%

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009865 TX Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.