Active NPI
Golden Star Home Health Agency Inc.
- Home Health Agency
- Mesquite, TX
National Provider Identifier
1013934868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009951
- Legal business name
- GOLDEN STAR HOME HEALTH AGENCY INC.
- Practice address
- 2621 Walnut Creek Dr
Mesquite, TX 75181-4226 - Phone
- (469) 726-0760
- Fax
- (469) 726-0761
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Comfort Chimatara Nwoke
- Title
- Don Administrator
- Phone
- (469) 726-0760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009951 | TX | Primary |
Addresses
Primary practice location
2621 Walnut Creek Dr
Mesquite, TX 75181-4226
Mailing address
2621 Walnut Creek Dr
Mesquite, TX 75181-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1787228 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050728001044 | TX | Part A Provider - Home Health Agency | 5597793851 | Practice locations: Dallas, TX |
Home health agency certification: CCN 677855
- Legal name
- GOLDEN STAR HOME HEALTH AGENCY INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 17, 2006
- Last certification
- Aug 25, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 9, 2005 in TX
- Enrollment address
- 8035 E RL Thornton Fwy
Ste 247
Dallas, TX 75228-7018
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Golden Star Home Health Agency Inc
- Ownership
- Proprietary
- Certified
- Mar 17, 2006
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
8035 E R L Thornton Fwy
Ste 609
Dallas, TX 75228
Phone (469) 726-0760
8344 E R L Thornton Fwy
Ste 410
Dallas, TX 75228
Phone (469) 726-0760
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Paul Nwoke | 5% Or Greater Direct Ownership Interest | May 9, 2005 | |
| Corporate Officer | May 9, 2005 | 50% | |
| Corporate Director | Jul 28, 2005 | ||
| W-2 Managing Employee | May 9, 2005 | ||
| Chimatara Nwoke | 5% Or Greater Direct Ownership Interest | May 9, 2005 | |
| Corporate Officer | May 9, 2005 | ||
| Corporate Director | Jul 28, 2005 | ||
| W-2 Managing Employee | May 9, 2005 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013934868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 WALNUT CREEK DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751814226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 WALNUT CREEK DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751814226",
"telephone_number": "469-726-0760",
"fax_number": "469-726-0761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN STAR HOME HEALTH AGENCY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NWOKE",
"authorized_official_first_name": "COMFORT",
"authorized_official_middle_name": "CHIMATARA",
"authorized_official_title_or_position": "DON ADMINISTRATOR",
"authorized_official_telephone_number": "469-726-0760",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1787228",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.