Active NPI
Mediguard America, Inc.
- Home Health Agency
- Irving, TX
National Provider Identifier
1174577183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008330
- Legal business name
- MEDIGUARD AMERICA, INC.
- Practice address
- 3129 Esters Rd
Irving, TX 75062-2837 - Phone
- (214) 441-0791
- Fax
- (214) 441-0291
- NPI assigned
- May 22, 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. Sara Chamathil, RN
- Title
- Administrator
- Phone
- (214) 441-0791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008330 | TX | Primary |
Addresses
Primary practice location
3129 Esters Rd
Irving, TX 75062-2837
Mailing address
3129 Esters Rd
Irving, TX 75062-2837
Phone (214) 441-0791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679267 | Other | TX | MEDICARE PROVIDER |
Other names 1
- Lone Star Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030204000007 | TX | Part A Provider - Home Health Agency | 3971412685 | Practice locations: Irving, TX |
Home health agency certification: CCN 679267
- Legal name
- MEDIGUARD AMERICA, INC.
- Doing business as
- LONE STAR HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 14, 2003
- Last certification
- Sep 22, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 8, 2002 in TX
- Enrollment address
- 3129 Esters Road
Suite 101
Irving, TX 75062
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lone Star Home Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 14, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 45D1010205 | Lone Star Home Health Services | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
3129 Esters Rd
Ste 101
Irving, TX 75062
Phone (214) 441-0791
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 |
|---|---|---|---|
| Sara V Chamathil | 5% Or Greater Direct Ownership Interest | Jun 1, 2010 | |
| Corporate Director | Jun 1, 2010 | ||
| W-2 Managing Employee | Jun 1, 2010 | ||
| Varghese T Chamathil | 5% Or Greater Direct Ownership Interest | Oct 8, 2002 | |
| W-2 Managing Employee | Oct 8, 2002 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Arlington, TX
- NPI 1356436166
Home health agency
-
- Clinical Cardiac Electrophysiology Physician
- Cincinnati, OH
- NPI 1649546748
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272412800000",
"number": "1174577183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 ESTERS RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750622837",
"telephone_number": "214-441-0791",
"fax_number": "214-441-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 ESTERS RD",
"city": "IRVING",
"state": "TX",
"postal_code": "750622837",
"telephone_number": "214-441-0791",
"fax_number": "214-441-0291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIGUARD AMERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2010-04-28",
"status": "A",
"authorized_official_last_name": "CHAMATHIL",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-441-0791",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "679267",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lone Star Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.