Organization Active NPI

Good Hope Healthcare Services LLC

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1164698965
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012334 Issued in TX
Legal business name
GOOD HOPE HEALTHCARE SERVICES LLC
Practice address
3202 Delaford Dr
Carrollton, TX 75007-3036
Phone
(972) 394-4709
NPI assigned
May 1, 2008
Last updated
Jan 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Mrs. Scholastica Iruka Nweke, R.N.
Title
Director of Nursing
Phone
(972) 394-4709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012334 TX Primary

Addresses

Primary practice location

3202 Delaford Dr
Carrollton, TX 75007-3036

Mailing address

3202 Delaford Dr
Carrollton, TX 75007-3036
Phone (972) 394-4709

Other identifiers 1

IdentifierTypeStateIssuer
67-9705OtherTXMEDICARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000021 TX Part A Provider - Home Health Agency 6002989175 Practice locations: Carrollton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164698965. Details of each certification follow.

Home health agency certification: CCN 679705

Legal name
GOOD HOPE HEALTHCARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2007
Last certification
Jun 28, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
3202 Delaford Drive
Carrollton, TX 75007-3036

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Hope Healthcare Services LLCCCN 679705 · All quality measures
Ownership
Proprietary
Certified
Dec 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
45D1051632Good Hope Healthcare Services,LLC3202 Delaford Drive, Carrollton, TX 75007Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iruka S Nweke Individual 5% Or Greater Direct Ownership Interest Mar 31, 2008
Corporate Director Mar 31, 2008
W-2 Managing Employee Mar 31, 2008

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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1164698965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 DELAFORD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073036",
            "telephone_number": "972-394-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 DELAFORD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073036",
            "telephone_number": "972-394-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOPE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "NWEKE",
        "authorized_official_first_name": "SCHOLASTICA",
        "authorized_official_middle_name": "IRUKA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "972-394-4709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "67-9705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.