Organization Active NPI

National Health Service Corporation

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1083669311
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007558 Issued in TX
Legal business name
NATIONAL HEALTH SERVICE CORPORATION
Practice address
3129 Esters Rd Ste 103
Irving, TX 75062-2837
Phone
(972) 790-3200
Fax
(972) 870-1031
NPI assigned
May 24, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Mrs. Sara Chamathil, RN
Title
Administrator
Phone
(972) 790-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007558 TX Primary

Addresses

Primary practice location

3129 Esters Rd Ste 103
Irving, TX 75062-2837

Mailing address

3129 Esters Rd Ste 103
Irving, TX 75062-2837
Phone (972) 790-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000237 TX Part A Provider - Home Health Agency 2466455621 Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083669311. Details of each certification follow.

Home health agency certification: CCN 679060

Legal name
NATIONAL HEALTH SERVICE CORPORATION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 6, 2001
Last certification
Mar 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 7, 2000 in TX
Enrollment address
3129 Esters Rd
Ste 103
Irving, TX 75062-2837

Care Compare: Home health agency

Medicare Care Compare
Listed as
National Health Service CorporationCCN 679060 · All quality measures
Ownership
Proprietary
Certified
Aug 6, 2001
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
45D0985595National Health Service Corporation3129 Esters Road, Suite 103, Irving, TX 75062Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

3129 Esters Rd
Ste 103
Irving, TX 75062
Phone (972) 790-3200

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
Sara V Chamathil Individual 5% Or Greater Direct Ownership Interest Dec 31, 2005
W-2 Managing EmployeeAdministator Jan 1, 2016 50%
Varghese T Chamathil Individual 5% Or Greater Direct Ownership Interest Jan 1, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1083669311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 ESTERS RD STE 103",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622837",
            "telephone_number": "972-790-3200",
            "fax_number": "972-870-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 ESTERS RD STE 103",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622837",
            "telephone_number": "972-790-3200",
            "fax_number": "972-870-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTH SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAMATHIL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-790-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.