NPIMap

Organization Active NPI

Goodwin Home Healthcare Service Inc

Doing business as Unicare Health Services

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1083695571
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004312 Issued in TX
Legal business name
GOODWIN HOME HEALTHCARE SERVICE INC
Doing business as
Unicare Health Services
Practice address
8111 LBJ Fwy Ste 1225B
Dallas, TX 75251-1313
Phone
(214) 342-1119
Fax
(214) 342-1580
NPI assigned
Nov 10, 2005
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Reginal Coleman
Title
Director of Operation
Phone
(214) 342-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 004312 TX Primary

Addresses

Primary practice location

8111 LBJ Fwy Ste 1225B
Dallas, TX 75251-1313

Mailing address

8111 LBJ Fwy Ste 1225B
Dallas, TX 75251-1313
Phone (214) 342-1119

Other names 1

  • UNICARE HEALTH SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000650 TX Part A Provider - Home Health Agency 9830351444 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083695571. Details of each certification follow.

Home health agency certification: CCN 678308

Legal name
GOODWIN HOME HEALTHCARE SERVICE INC
Doing business as
UNICARE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 1996
Last certification
Jun 12, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
8111 LBJ Freeway
Suite 1225 B
Dallas, TX 75251-1309

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unicare Health ServicesCCN 678308 · All quality measures
Ownership
Proprietary
Certified
Jun 11, 1996
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
45D0914847Goodwin Home Healthcare Services, Inc8111 LBJ Freeway Suite 1225B, Dallas, TX 75251Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

8111 LBJ
Ste 1225B
Dallas, TX 75251
Phone (214) 342-1119

1201 S Sherman St
Ste 201B
Richardson, TX 75081
Phone (214) 342-1119

1201 S Sherman St
Ste B
Richardson, TX 75081

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Asclepius Health Services LLC Organization, Dallas, TX LLC, Management services company Operational/Managerial Control Nov 10, 2017 20%
Elsy Varghese Individual W-2 Managing EmployeeAlternate Supervising Nurse Feb 28, 2024 100%
Mini Prince Individual 5% Or Greater Direct Ownership Interest Dec 31, 2024 50%
Corporate DirectorCorporate Director Dec 31, 2024
Vanelly Mora Individual W-2 Managing EmployeeAlternate Administrator Jan 5, 2024 100%
Ekaete I Ekpo Individual W-2 Managing EmployeeSupervising Nurse Jan 5, 2024 100%
Prince V Samuel Individual 5% Or Greater Direct Ownership Interest Dec 31, 2024 50%
Corporate DirectorCorporate Director Dec 31, 2024
W-2 Managing EmployeeAd; Dec 31, 2024
Merin Prince Individual W-2 Managing EmployeeAlternate Administrator Aug 18, 2025
Vivian Poblete Individual W-2 Managing EmployeeSupervising Nurse Aug 18, 2025

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1083695571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "214-342-1119",
            "fax_number": "214-342-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "214-342-1119",
            "fax_number": "214-342-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN HOME HEALTHCARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "REGINAL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "214-342-1119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNICARE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.