Organization Active NPI

Elim Home Health Inc.

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1184742330
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009560 Issued in TX
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

Updated by the provider on Mar 26, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 457962
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Dec 30, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
George Thomas Individual 5% Or Greater Direct Ownership Interest Sep 27, 2004
Corporate Director Nov 18, 2004
W-2 Managing Employee Sep 27, 2004
Jessy Thomas Individual 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

Verify at the official NPI Registry.