Delcorp Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010011 Issued in TX

Legal business name

DELCORP HOME HEALTH SERVICES, INC.

Practice address

1408 S. Jeffereson Street
Suite 114
Amarillo, TX 79101-4048

Phone

(806) 373-8100

Fax

(806) 378-9996

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dorothy E Gooden, MSN

Title

Administrator

Phone

(806) 231-3239

Specialties & licenses 1

Addresses

Other names 1

• DELCORP HOME HEALTH SERVICES, INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679534

Legal name

DELCORP HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 15, 2006

Last certification

Feb 21, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1408 S. Jefferson Street
Suite 114
Amarillo, TX 79101-4048

Listed as

Delcorp Home Health Services IncCCN 679534

Ownership

Proprietary

Certified

Aug 15, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing

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 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144315706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S. JEFFERESON STREET",
            "address_2": "SUITE 114",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014048",
            "telephone_number": "806-373-8100",
            "fax_number": "806-378-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S. JEFFERESON STREET",
            "address_2": "SUITE 114",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014048",
            "telephone_number": "806-373-8100",
            "fax_number": "806-378-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCORP HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODEN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-231-3239",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELCORP HOME HEALTH SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice Deeds, LPC ASSOCIATE
• Julene Dorman Dees, RN
• Annette S Defever, RN
• Buddy W Deford
• Madison Del Castillo
• Megan Deleon
• Tanya Deleon, FNP
• Kennedy Delgado, MA
• Sharyn Kaye Delgado, LPC
• Norma Dellis, P.T.

• Home Health Agency in Amarillo, TX
• Providers in Amarillo, 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 Aug 22, 2020; 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.