Organization Active NPI

Mecare Home Health, Inc.

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1043408156
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MECARE HOME HEALTH, INC.
Practice address
18601 LBJ Fwy Ste 706
Mesquite, TX 75150
Phone
(972) 331-8166
NPI assigned
Oct 15, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ms. Edith Abengowe
Title
Administrator
Phone
(972) 331-8166

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Assisted Living Facility 310400000X NU
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

18601 LBJ Fwy Ste 706
Mesquite, TX 75150

Mailing address

18601 LBJ Fwy Ste 706
Mesquite, TX 75150-5600
Phone (972) 331-8166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000065 TX Part A Provider - Home Health Agency 5597830984 Practice locations: Mesquite, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043408156. Details of each certification follow.

Home health agency certification: CCN 747212

Legal name
MECARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 14, 2009
Last certification
Jul 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 3, 2007 in TX
Enrollment address
18601 LBJ Freeway
Suite 706
Mesquite, TX 75150

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mecare Home Health IncCCN 747212 · All quality measures
Ownership
Proprietary
Certified
Aug 14, 2009
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
45D1076474Mecare Home Health Inc18601 LBJ Freeway Suite 706, Mesquite, TX 75150Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Part of
Mecare Home Health Inc

Locations

8204 Elmbrook Dr
Ste 230
Dallas, TX 75247
Phone (972) 331-8166

18601 Lyndon B Johnson Fwy
Ste 706
Mesquite, TX 75150

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.

NameRoleSinceShare
Edith I Abengowe Individual 5% Or Greater Direct Ownership Interest Feb 21, 2008 100%
Corporate Director Feb 21, 2008
W-2 Managing Employee Feb 21, 2008
Martha E Ozo Individual W-2 Managing Employee Aug 30, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1043408156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY STE 706",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "972-331-8166",
            "fax_number": "972-331-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY STE 706",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-331-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECARE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ABENGOWE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-331-8166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.