Organization Active NPI

Dover Healthcare Services LLC

  • Home Health Agency
  • McKinney, TX
National Provider Identifier
1144257940
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 2, 2024

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,RNNPI 1356901581
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 679693
Ownership
Proprietary
Certified
Nov 30, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing

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
45D1062161Dover Healthcare Services, LLC307 S McDonald St Suite 400, McKinney, TX 75069Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Adebukola Obasanya Individual 5% Or Greater Direct Ownership Interest Mar 2, 2007
W-2 Managing Employee Mar 2, 2007
Olaseni Obasanya Individual 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.