Organization Active NPI

Chosen Home Health Services Inc

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1174853360
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHOSEN HOME HEALTH SERVICES INC
Practice address
17290 Preston Road
Ste 210D
Dallas, TX 75252
Phone
(972) 590-0237
Fax
(972) 584-6073
NPI assigned
Jan 11, 2010
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Mrs. Beena Kurup
Title
Administrator
Phone
(972) 900-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17290 Preston Road
Ste 210D
Dallas, TX 75252

Mailing address

17290 Preston Road
Ste 210D
Dallas, TX 75252
Phone (972) 590-0237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000113 TX Part A Provider - Home Health Agency 2466632732 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174853360. Details of each certification follow.

Home health agency certification: CCN 747717

Legal name
CHOSEN HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 21, 2012
Last certification
Jul 2, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2009 in TX
Enrollment address
17290 Preston Road
Suite 210D
Dallas, TX 75252-4032

Care Compare: Home health agency

Medicare Care Compare
Listed as
Chosen Home Health Service IncCCN 747717 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D2010099Chosen Home Health Services, Inc17290 Preston Road, Dallas, TX 75252Certificate of waiverJul 19, 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
Beena Kurup Individual 5% Or Greater Direct Ownership InterestAdministrator Apr 28, 2015 100%
Corporate DirectorPresident Apr 28, 2015 100%
Operational/Managerial ControlPresident Apr 28, 2015

Practitioners & affiliated clinicians

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": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1174853360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17290 PRESTON ROAD",
            "address_2": "STE 210D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252",
            "telephone_number": "972-590-0237",
            "fax_number": "972-584-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 PRESTON ROAD",
            "address_2": "STE 210D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252",
            "telephone_number": "972-590-0237",
            "fax_number": "972-584-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KURUP",
        "authorized_official_first_name": "BEENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-900-5185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.