Organization Active NPI

Glucare Corporation

Doing business as PDR Home Health Services

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1215918214
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005497 Issued in TX
Legal business name
GLUCARE CORPORATION
Doing business as
PDR Home Health Services
Practice address
8520 S Braeswood Blvd
Houston, TX 77071-1108
Phone
(713) 779-5673
Fax
(713) 779-7766
NPI assigned
Nov 8, 2005
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Ofelia C Flores
Title
Director/Treasurer
Phone
(713) 779-5673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005497 TX Primary

Addresses

Primary practice location

8520 S Braeswood Blvd
Houston, TX 77071-1108

Mailing address

8520 S Braeswood Blvd
Houston, TX 77071-1108
Phone (713) 779-5673

Other names 1

  • PDR Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000436 TX Part A Provider - Home Health Agency 8820136021 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215918214. Details of each certification follow.

Home health agency certification: CCN 459422

Legal name
GLUCARE CORPORATION
Doing business as
PDR HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 1998
Last certification
Sep 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 29, 1997 in TX
Enrollment address
8520 S Braeswood Blvd
Houston, TX 77071-1108

Care Compare: Home health agency

Medicare Care Compare
Listed as
PDR Home Health ServicesCCN 459422 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 29, 1998
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
45D0929900PDR Home Health Services8520 S Braeswood Blvd, Houston, TX 77071Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory

Locations

8520 S Braeswood Blvd
Houston, TX 77071
Phone (713) 779-5673

8530 S Braeswood Blvd
Ste C
Houston, TX 77071
Phone (713) 779-5673

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sunshine Albotra Individual 5% Or Greater Indirect Ownership InterestDirector Nov 28, 2023 34%
Corporate Officer Nov 28, 2023
Corporate Director Nov 28, 2023
Operational/Managerial ControlAdministrator Nov 28, 2023
Eunice Gonzales Individual 5% Or Greater Indirect Ownership Interest Nov 28, 2023 33%
Corporate Officer Nov 28, 2023
Corporate Director Nov 28, 2023
W-2 Managing Employee Nov 28, 2023
Ofelia Flores Individual 5% Or Greater Indirect Ownership Interest Nov 28, 2023 33%
Corporate Officer Nov 28, 2023
Corporate Director Nov 28, 2023
Smile Healthcare LLC Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Nov 28, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1215918214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711108",
            "telephone_number": "713-779-5673",
            "fax_number": "713-779-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711108",
            "telephone_number": "713-779-5673",
            "fax_number": "713-779-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "713-779-5673"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDR Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PDR Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.