Active NPI
Healthstar Medical Services, Inc
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008015
- Legal business name
- HEALTHSTAR MEDICAL SERVICES, INC
- Practice address
- 1417 N Cockrell Hill Rd Ste 106
Dallas, TX 75211-1430 - Phone
- (214) 228-5447
- Fax
- (469) 778-0118
- NPI assigned
- Oct 27, 2006
- 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
- Eberechi Ure Agbara
- Title
- Administrator
- Phone
- (469) 778-0124
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008015 | TX | Primary |
Addresses
Primary practice location
1417 N Cockrell Hill Rd Ste 106
Dallas, TX 75211-1430
Mailing address
1417 N Cockrell Hill Rd Ste 1O6
Dallas, TX 75211-1308
Phone (214) 228-5447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012183 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111207000023 | TX | Part A Provider - Home Health Agency | 8426223256 | Practice locations: Dallas, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083790703. Details of each certification follow.
Home health agency certification: CCN 679202
- Legal name
- HEALTHSTAR MEDICAL SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 23, 2002
- Last certification
- Nov 7, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- in TX
- Enrollment address
- 1417 N Cockrell Hill Rd
Ste 101a
Dallas, TX 75211-1308
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ahealthstar Homecare Agency
- Ownership
- Proprietary
- Certified
- Dec 23, 2002
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical 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 |
|---|---|---|---|
| 45D1001013 | Healthstar Medical Service, Inc | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Health Star Home Health Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Garland, TX
- NPI 1992919443
Locations
1417 N Cockrell Hill Rd
Ste 101A
Dallas, TX 75211
Phone (214) 228-5447
1417 N Cockrell Hill Rd
Ste 1O1A
Dallas, TX 75211
1417 N Cockrell Hill Rd
Ste 1O6
Dallas, TX 75211
4402 Broadway Blvd
#6F
Garland, TX 75043
Phone (214) 227-5516
4402 Broadway Blvd
Ste 6F
Garland, TX 75043
Phone (214) 227-5516
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eberechi Agbara | 5% Or Greater Direct Ownership Interest | Jul 31, 2014 | 100% |
| W-2 Managing Employee | Dec 31, 2010 | ||
| Chibuzor Ngwakwe | Corporate Director | Jul 31, 2014 | |
| W-2 Managing Employee | Jul 31, 2014 | 80% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Garland, TX
- NPI 1790135838
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
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.
-
- Family Nurse Practitioner
- Garland, TX
- NPI 1790135838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1083790703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 N COCKRELL HILL RD STE 1O6",
"city": "DALLAS",
"state": "TX",
"postal_code": "752111308",
"telephone_number": "214-228-5447",
"fax_number": "469-778-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 N COCKRELL HILL RD STE 106",
"city": "DALLAS",
"state": "TX",
"postal_code": "752111430",
"telephone_number": "214-228-5447",
"fax_number": "469-778-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSTAR MEDICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "AGBARA",
"authorized_official_first_name": "EBERECHI",
"authorized_official_middle_name": "URE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "469-778-0124"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012183",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Healthrive Inc.
- Healthscripts of America - Dallas, LLC
- Healthset Organising LLC
- Healthsignal Practice Management of Texas PLLC
- Healthsource FSM & C
- Healthteam, LLC (HealthTeam Home Health & HealthTeam Pediatrics)
- Healthtexas Provider Network
- Healthtexas Provider Network (Symmetry Anesthesia)
- Healthtexas Provider Network
- Healthtexas Provider Network (Family Medical Center at Terrell)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.