Active NPI
Dover Healthcare Services LLC
- Home Health Agency
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DOVER HEALTHCARE SERVICES LLC
- Practice address
- 307 S McDonald St Ste 400
McKinney, TX 75069-5619 - Phone
- (214) 351-3360
- Fax
- (214) 988-1488
- NPI assigned
- Jun 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
- Mrs. Adebukola Obasanya, DNP, FNP, APRN,RN
- Title
- Don/Alternate Administrator
- Phone
- (214) 351-3360
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
307 S McDonald St Ste 400
McKinney, TX 75069-5619
Mailing address
307 S McDonald St Ste 400
McKinney, TX 75069-5619
Phone (214) 351-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070516000119 | TX | Part A Provider - Home Health Agency | 1951408558 | Practice locations: McKinney, TX |
Home health agency certification: CCN 679693
- Legal name
- DOVER HEALTHCARE SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 30, 2007
- Last certification
- Oct 16, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 8, 2006 in TX
- Enrollment address
- 307 S McDonald St
Ste 400
McKinney, TX 75069-5619
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Dover Healthcare Services LLC
- Ownership
- Proprietary
- Certified
- Nov 30, 2007
- Medicare certification status
- Active
- Services
- Nursing
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 |
|---|---|---|---|
| 45D1062161 | Dover Healthcare Services, LLC | Certificate of waiver | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
2351 W Northwest Hwy
Ste 3280
Dallas, TX 75220
Phone (214) 351-3360
307 S McDonald St
Ste 400
McKinney, TX 75069
Phone (214) 351-3360
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 |
|---|---|---|---|
| Adebukola Obasanya | 5% Or Greater Direct Ownership Interest | Mar 2, 2007 | |
| W-2 Managing Employee | Mar 2, 2007 | ||
| Olaseni Obasanya | 5% Or Greater Direct Ownership Interest | Mar 2, 2007 | |
| W-2 Managing Employee | Mar 2, 2007 |
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
- McKinney, TX
- NPI 1356901581
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.
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1356901581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1144257940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S MCDONALD ST STE 400",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750695619",
"telephone_number": "214-351-3360",
"fax_number": "214-988-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S MCDONALD ST STE 400",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750695619",
"telephone_number": "214-351-3360",
"fax_number": "214-988-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOVER HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "OBASANYA",
"authorized_official_first_name": "ADEBUKOLA",
"authorized_official_title_or_position": "DON/ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "214-351-3360",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP, FNP, APRN,RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.