Organization Active NPI

Guidance Home Health Services Inc

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1073895322
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014539 Issued in TX
Legal business name
GUIDANCE HOME HEALTH SERVICES INC
Practice address
4323 N Josey LN Ste 100
Carrollton, TX 75010-4619
Phone
(972) 672-3050
Fax
(469) 788-7800
NPI assigned
Sep 13, 2011
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Saju Abraham
Title
President/Alt. Administrator
Phone
(972) 639-7956

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014539 TX Primary
Nursing Care Agency 251J00000X 014539 TX
Adult Companion 372600000X 014539 TX
Personal Care Attendant 3747P1801X 014539 TX
Home Health Aide 374U00000X 014539 TX
Homemaker 376J00000X 014539 TX
Respite Care 385H00000X 014539 TX

Addresses

Primary practice location

4323 N Josey LN Ste 100
Carrollton, TX 75010-4619

Mailing address

4323 N Josey LN Ste 100
Carrollton, TX 75010-4619
Phone (972) 672-3050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000655 TX Part A Provider - Home Health Agency 8224294558 Practice locations: Carrollton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073895322. Details of each certification follow.

Home health agency certification: CCN 747875

Legal name
GUIDANCE HOME HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 2013
Last certification
Feb 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 1, 2011 in TX
Enrollment address
4541 N Josey LN
Ste 110
Carrollton, TX 75010-4622

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guidance Home Health Services IncCCN 747875 · All quality measures
Ownership
Proprietary
Certified
May 7, 2013
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
45D2037342Guidance Home Health Services, Inc4541 N Josey LN, Ste 110, Carrollton, TX 75010Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Biju Mathew Lukose Individual 5% Or Greater Direct Ownership Interest Jan 8, 2024 100%
Corporate OfficerAuthorized Official Jan 8, 2024 100%
W-2 Managing EmployeeAd; Jan 8, 2024 100%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1073895322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104619",
            "telephone_number": "972-672-3050",
            "fax_number": "469-788-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104619",
            "telephone_number": "972-672-3050",
            "fax_number": "469-788-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-11-21",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "SAJU",
        "authorized_official_title_or_position": "PRESIDENT/ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "972-639-7956"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014539",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "014539",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TX",
            "license": "014539",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "014539",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "014539",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TX",
            "license": "014539",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "014539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.