Organization Active NPI

Passionate Healthcare Services Inc

  • Home Health Agency
  • Desoto, TX
National Provider Identifier
1023259199
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PASSIONATE HEALTHCARE SERVICES INC
Practice address
609 Gardenia St
Desoto, TX 75115-1450
Phone
(214) 886-6094
Fax
(972) 786-9460
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Stella Omenihu
Title
Owner/Administrator
Phone
(214) 886-6094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

609 Gardenia St
Desoto, TX 75115-1450

Mailing address

609 Gardenia St
Desoto, TX 75115-1450
Phone (214) 886-6094

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100419000702 TX Part A Provider - Home Health Agency 3577690817 Practice locations: Dallas, TX

Home health agency certification: CCN 747553

Legal name
PASSIONATE HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2011
Last certification
Sep 25, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 22, 2008 in TX
Enrollment address
1720 Regal Row
Ste 117
Dallas, TX 75235-2212

Care Compare: Home health agency

Medicare Care Compare
Listed as
Passionate Healthcare Services IncCCN 747553
Ownership
Proprietary
Certified
May 11, 2011
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
45D1105507Passionate Healthcare Services, Inc1720 Regal Row Suite 117, Dallas, TX 75235Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

8787 N Stemmons Fwy
Ste 370
Dallas, TX 75247
Phone (972) 432-7866

1720 Regal Row
Ste 117
Dallas, TX 75235
Phone (972) 432-7878

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Stella Omenihy Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 1, 2022 100%
Corporate OfficerAdministrator Jan 22, 2008 100%
Corporate DirectorAdministrator Jan 22, 2008 100%
W-2 Managing EmployeeAdm/Don Feb 22, 2008 100%
Stanley Omenihu Individual Corporate OfficerBoard Member Jan 22, 2008
Corporate DirectorBoard Member Jan 22, 2008
Eugene Omenihu Individual Corporate OfficerBoard Member Jan 22, 2008
Corporate DirectorBoard Member Jan 22, 2008
W-2 Managing EmployeeAlternate Administrator Apr 16, 2013
Godson Anyanwu Individual Corporate OfficerBoard Member Jan 22, 2008
Corporate Director Sep 18, 2009
Angela Martin Individual Corporate OfficerBoard Member Jan 22, 2008
Corporate DirectorBoard Member Jan 22, 2008

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1023259199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 GARDENIA ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151450",
            "telephone_number": "214-886-6094",
            "fax_number": "972-786-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GARDENIA ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151450",
            "telephone_number": "214-886-6094",
            "fax_number": "972-786-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "OMENIHU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-886-6094"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.