Organization Active NPI

Marvelous Choice Home Health, Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1063599264
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011933 Issued in TX
Legal business name
MARVELOUS CHOICE HOME HEALTH, INC
Practice address
8035 E RL Thrtn Fwy Ste 452
Dallas, TX 75228-1016
Phone
(214) 324-9099
Fax
(214) 324-3090
NPI assigned
Nov 1, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Christiana I Lekwuwa, RNNPI 1639763774
Title
Administrator Director of Nurse
Phone
(214) 324-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011933 NU
Home Health Agency 251E00000X 011933 TX Primary

Addresses

Primary practice location

8035 E RL Thrtn Fwy Ste 452
Dallas, TX 75228-1016

Mailing address

8035 E RL Thrtn Fwy Ste 452
Dallas, TX 75228-1016
Phone (214) 324-9099

Other names 1

  • Marvelous Choice Home Health Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000155 TX Part A Provider - Home Health Agency 9739237801 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063599264. Details of each certification follow.

Home health agency certification: CCN 677896

Legal name
MARVELOUS CHOICE HOME HEALTH INC
Doing business as
OUR CHOICE ENTERPRISES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 5, 2006
Last certification
Jun 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 2007 in TX
Enrollment address
8035 E RL Thornton Fwy
Suite 452
Dallas, TX 75228-7071

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marvelous Choice Home Health IncCCN 677896 · All quality measures
Ownership
Proprietary
Certified
Apr 5, 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
45D1040268Marvelous Choice Home Health Inc8035 E RL Thornton Fwy, Suite 452, Dallas, TX 75228Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

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
Priscilla Nwabeke Individual Corporate Director Mar 17, 2008
W-2 Managing Employee Mar 17, 2008
Operational/Managerial ControlDirector of Nursing Aug 12, 2007
Christiana Ijeoma Lekwuwa Individual 5% Or Greater Direct Ownership Interest Mar 17, 2005 100%
Corporate Director Mar 17, 2005
W-2 Managing Employee Mar 17, 2005

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1063599264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E RL THRTN FWY STE 452",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281016",
            "telephone_number": "214-324-9099",
            "fax_number": "214-324-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E RL THRTN FWY STE 452",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281016",
            "telephone_number": "214-324-9099",
            "fax_number": "214-324-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUS CHOICE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "LEKWUWA",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR DIRECTOR OF NURSE",
        "authorized_official_telephone_number": "214-324-9099",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "011933",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marvelous Choice Home Health Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.