NPIMap

Organization Active NPI

Healing Hands Ministries Inc.

Doing business as HHM Health at Holmes Street

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1124884812
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALING HANDS MINISTRIES INC.
Doing business as
HHM Health at Holmes Street
Practice address
3639 Holmes St
Dallas, TX 75215-3605
Phone
(214) 221-0855
NPI assigned
Feb 21, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Rosa N Gomez
Title
Credentialing Specialist
Phone
(214) 221-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3639 Holmes St
Dallas, TX 75215-3605

Mailing address

3639 Holmes St
Dallas, TX 75215-3605
Phone (214) 221-0855

Other names 1

  • HHM Health at Holmes Street Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001002077 TX Part A Provider - Federally Qualified Health Center (FQHC) 8527289339 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124884812. Details of each certification follow.

Federally qualified health center certification: CCN 971034

Legal name
HEALING HANDS MINISTRIES INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 28, 2024
Last certification
Oct 28, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3639 Holmes St
Dallas, TX 75215-3605

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Ministries Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

3639 Holmes St
Dallas, TX 75215
Phone 21422108552034

8515 Greenville Ave
Ste 108
Dallas, TX 75243

Ownership & related parties

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.

NameRoleSinceShare
David Hernandez Individual Corporate DirectorCfo Jan 2, 2020
Brian a Hawkins Individual Corporate OfficerCeo May 3, 2021
W-2 Managing EmployeeCeo & President May 3, 2021
Latasha Nicole Jarrett Individual Corporate DirectorCmo Jan 9, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healing Hands Ministries Woodhill Pediatric Health CenterDallas, TX, CCN 451198 Federally qualified health center Operational/Managerial Control May 1, 2008
HHM Health Mesquite Family Health CenterMesquite, TX, CCN 971052 Federally qualified health center Limited Partnership Interest Jun 19, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1124884812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 HOLMES ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153605",
            "telephone_number": "214-221-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 HOLMES ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752153605",
            "telephone_number": "214-221-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "214-221-0855"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHM Health at Holmes Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HHM Health at Holmes Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.