Carelife Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARELIFE HEALTH SERVICES, INC.

Doing business as

Amazing Health Services

Practice address

1908 Royal LN Ste 750
Dallas, TX 75229-3128

Phone

(972) 638-8053

Fax

(972) 755-4906

NPI assigned

Sep 23, 2015

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linh Atkins

Title

Admnistrator

Phone

(972) 638-8053

Specialties & licenses 1

Addresses

Other names 1

• AMAZING HEALTH SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154790871. Details of each certification follow.

• CCN 679651 Home health agency · Active · Details

Home health agency certification: CCN 679651

Legal name

CARELIFE HEALTH SERVICES INC

Doing business as

AMAZING HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 25, 2007

Last certification

May 31, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 10, 2015 in TX

Enrollment address

1908 Royal LN
Ste 750
Dallas, TX 75229-3128

Listed as

Amazing Health ServicesCCN 679651 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jul 25, 2007

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fe Q Gonzaga, MD

  • Internal Medicine Physician
  • Duncanville, TX
  • NPI 1013971597

  Home health agency

  Care Compare affiliation
• Ken Park, M.D.

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1316980295

  Home health agency

  Care Compare affiliation
• Ravi Kumar Sreerama, M.D.

  • Internal Medicine Physician
  • Clarksville, TX
  • NPI 1154373397

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1154790871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN",
            "address_2": "SUITE 750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293128",
            "telephone_number": "972-638-8053",
            "fax_number": "972-755-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ROYAL LN STE 750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293128",
            "telephone_number": "972-638-8053",
            "fax_number": "972-755-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELIFE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "972-638-8053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMAZING HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caredrive Healthcare Group
• Carefirst Medical Group
• Careforward LLC
• Caregivers for Seniors LLC (Everford Caregivers)
• Caregiving Solutions of Texas LLC
• Caremax Medical Resources, LLC
• Careme Medical Solutions LLC
• Caremed Home Healthcare LLC (Caremed Home Healthcare)
• Caremed Services LLC
• Caremed Services LLC

• 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 Jun 23, 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.