NPIMap

Organization Active NPI

Gideon Healthcare Group Inc.

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1245405653
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GIDEON HEALTHCARE GROUP INC.
Practice address
208 W Kearney St
Ste 101
Mesquite, TX 75149-3476
Phone
(972) 346-6502
Fax
(972) 303-5723
NPI assigned
Apr 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Mr. Tobin Daniel
Title
Cfo
Phone
(972) 346-6502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

208 W Kearney St
Ste 101
Mesquite, TX 75149-3476

Mailing address

208 W Kearney St
Ste 101
Mesquite, TX 75149-3476
Phone (972) 346-6502

Other names 1

  • Angel Home Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000694 TX Part A Provider - Home Health Agency 8123196532 Practice locations: Mesquite, TX

Home health agency certification: CCN 747214

Legal name
GIDEON HEALTHCARE GROUP INC.
Doing business as
ANGEL HOME HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 2009
Last certification
Nov 30, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 2008 in TX
Enrollment address
208 W Kearney St
Ste 101
Mesquite, TX 75149-3454

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Home Healthcare ServicesCCN 747214
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 10, 2009
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
45D1087221Gideon Healthcare Group, Inc208 W Kearney, Suite 101, Mesquite, TX 75149Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

1546 Rowlett Rd
Ste 108
Garland, TX 75043
Phone (972) 346-6502

208 W Kearney St
Ste 101
Mesquite, TX 75149
Phone (972) 346-6502

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Tobin Daniel Individual 5% Or Greater Direct Ownership Interest Aug 11, 2008 50%
Corporate Officer Apr 18, 2008
Corporate Director Aug 11, 2008
Operational/Managerial Control Apr 18, 2008
Achamma Daniel Individual W-2 Managing Employee Aug 11, 2008
Pheba Daniel Individual 5% Or Greater Direct Ownership Interest Aug 11, 2008 50%
Corporate Officer Apr 18, 2008
Corporate Director Aug 11, 2008
Operational/Managerial Control Apr 18, 2008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Pheba Daniel
    • Adult Health Nurse Practitioner
    • Mesquite, TX
    • NPI 1215325394
    NPD

Affiliated clinicians 4

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": "1209168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1245405653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W KEARNEY ST",
            "address_2": "STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493476",
            "telephone_number": "972-346-6502",
            "fax_number": "972-303-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W KEARNEY ST",
            "address_2": "STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493476",
            "telephone_number": "972-346-6502",
            "fax_number": "972-303-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON HEALTHCARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-26",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "TOBIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-346-6502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angel Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.