TX Prestige Home Health, Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TX PRESTIGE HOME HEALTH, INCORPORATED

Practice address

2340 E Trinity Mills Rd Ste 340
Carrollton, TX 75006-1942

Phone

(214) 499-8139

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Pearl Eboson

Title

President

Phone

(281) 705-8179

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 748085

Legal name

TX PRESTIGE HOME HEALTH INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 27, 2022

Last certification

Jun 7, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 26, 2019 in TX

Enrollment address

2340 E Trinity Mills Rd
Ste 340
Carrollton, TX 75006-1942

Listed as

TX Prestige Home Health, IncorporatedCCN 748085

Ownership

Proprietary

Certified

Jun 27, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Darius Peikari, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1275590077

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1013558329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CARLET DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 340",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061942",
            "telephone_number": "214-499-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX PRESTIGE HOME HEALTH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "EBOSON",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-705-8179"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S Tucker, MD
• Gwinivere Turley
• Phillip Craig Turley, BC-HIS
• Kyandra Kyna Turner
• Twilight X-Ray
• TX Southern Dental PPO PC
• U S Anesthesia Partners of Texas
• Moizza U-Kiu
• U.S. Healthworks Medical Group of Texas, Inc.
• Kanenechukwu Virginia Ubesie, MD, MBA, FACS

• Home Health Agency in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.