Active NPI
Guidance Home Health Services Inc
- Home Health Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014539
- 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, 2023
- 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
- Saju Abraham
- Title
- President/Alt. Administrator
- Phone
- (972) 639-7956
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- May 7, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2037342 | Guidance Home Health Services, Inc | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Biju Mathew Lukose | 5% Or Greater Direct Ownership Interest | Jan 8, 2024 | 100% |
| Corporate Officer | Jan 8, 2024 | 100% | |
| W-2 Managing Employee | 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.
-
- General Practice Physician
- Carrollton, TX
- NPI 1053501809
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.