Proximal Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROXIMAL HOME HEALTHCARE INC

Practice address

5701 Bryan Pkwy Ste C
Dallas, TX 75206-8109

Phone

(214) 253-2558

Fax

(214) 253-2559

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Olufemi Ohome, RN/BSN

Title

Administration

Phone

(336) 210-5211

Specialties & licenses 1

Addresses

Other names 1

• Proximal Home Healthcare Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747805

Legal name

PROXIMAL HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 27, 2012

Last certification

Oct 23, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 30, 2010 in TX

Enrollment address

5701 Bryan Pkwy
Ste C
Dallas, TX 75206-8109

Listed as

Proximal Home Healthcare IncCCN 747805

Ownership

Proprietary

Certified

Dec 27, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1083917546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BRYAN PKWY STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068109",
            "telephone_number": "214-253-2558",
            "fax_number": "214-253-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BRYAN PKWY STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068109",
            "telephone_number": "214-253-2558",
            "fax_number": "214-253-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMAL HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "OHOME",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "336-210-5211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proximal Home Healthcare Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.