Active NPI
Gucci Healthcare Services Inc
- Home Health Agency
- Austin, TX
National Provider Identifier
1205086600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014207
- Legal business name
- GUCCI HEALTHCARE SERVICES INC
- Practice address
- 111 W Anderson LN Ste D220
Austin, TX 78752-1144 - Phone
- (512) 567-8276
- Fax
- (512) 582-0112
- NPI assigned
- Sep 23, 2008
- 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
- Godwin Duru
- Title
- Administrator
- Phone
- (512) 567-8276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 014207 | TX | Primary |
Addresses
Primary practice location
111 W Anderson LN Ste D220
Austin, TX 78752-1144
Mailing address
111 W Anderson LN Ste D220
Austin, TX 78752-1144
Phone (512) 567-8276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120807000277 | TX | Part A Provider - Home Health Agency | 2961658935 | Practice locations: Austin, TX |
Home health agency certification: CCN 747927
- Legal name
- GUCCI HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 10, 2014
- Last certification
- Jul 15, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 6, 2011 in TX
- Enrollment address
- 1508 Dessau Ridge LN
Ste 401
Austin, TX 78754-2192
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Gucci Health Care Services Inc
- Ownership
- Proprietary
- Certified
- Jul 10, 2014
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
National Provider Directory
National Provider DirectoryLocations
111 W Anderson Ln
Ste D220
Austin, TX 78752
Phone (512) 567-8276
1508 Dessau Ridge Ln
Ste 401
Austin, TX 78754
Phone (512) 567-8276
223 W Anderson Ln
Ste B201
Austin, TX 78752
Phone (512) 567-8276
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 |
|---|---|---|---|
| Godwin Duru | 5% Or Greater Direct Ownership Interest | May 10, 2023 | 50% |
| W-2 Managing Employee | Jun 15, 2012 | 50% | |
| Ugonna Duru | 5% Or Greater Direct Ownership Interest | May 10, 2023 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1205086600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W ANDERSON LN STE D220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521144",
"telephone_number": "512-567-8276",
"fax_number": "512-582-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W ANDERSON LN STE D220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521144",
"telephone_number": "512-567-8276",
"fax_number": "512-582-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUCCI HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "DURU",
"authorized_official_first_name": "GODWIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "512-567-8276"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "014207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.