Active NPI
Elim Home Health Inc.
- Home Health Agency
- Mesquite, TX
National Provider Identifier
1184742330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009560
- Legal business name
- ELIM HOME HEALTH INC.
- Practice address
- 18601 Lyndon B Johnson Fwy Ste 110
Mesquite, TX 75150-5629 - Phone
- (972) 290-9721
- Fax
- (972) 288-1764
- NPI assigned
- Mar 27, 2007
- 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
- Mr. George Thomas
- Title
- Ceo
- Phone
- (972) 290-9721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009560 | TX | Primary |
Addresses
Primary practice location
18601 Lyndon B Johnson Fwy Ste 110
Mesquite, TX 75150-5629
Mailing address
18601 Lyndon B Johnson Fwy Ste 110
Mesquite, TX 75150-5629
Phone (972) 290-9721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041118000774 | TX | Part A Provider - Home Health Agency | 8921062993 | Practice locations: Mesquite, TX |
Home health agency certification: CCN 457962
- Legal name
- ELIM HOME HEALTH INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 30, 2005
- Last certification
- Aug 7, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 27, 2004 in TX
- Enrollment address
- 18601 Lyndon B Johnson Fwy
Ste 110
Mesquite, TX 75150-5629
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Elim Home Health Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 30, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
8344 E R L Thornton Fwy
Ste 315
Dallas, TX 75228
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 |
|---|---|---|---|
| George Thomas | 5% Or Greater Direct Ownership Interest | Sep 27, 2004 | |
| Corporate Director | Nov 18, 2004 | ||
| W-2 Managing Employee | Sep 27, 2004 | ||
| Jessy Thomas | 5% Or Greater Direct Ownership Interest | Sep 27, 2004 | |
| Corporate Director | Nov 18, 2004 | ||
| W-2 Managing Employee | Sep 27, 2004 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1184742330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18601 LYNDON B JOHNSON FWY STE 110",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505629",
"telephone_number": "972-290-9721",
"fax_number": "972-288-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 LYNDON B JOHNSON FWY STE 110",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505629",
"telephone_number": "972-290-9721",
"fax_number": "972-288-1764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-290-9721",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.