NPIMap

Organization Active NPI

Alive Home Health Care, Inc

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1275722332
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013791 Issued in TX
Legal business name
ALIVE HOME HEALTH CARE, INC
Doing business as
Alive Home Health Care, Inc
Practice address
350 Oaks TRL Ste 140
Garland, TX 75043-8015
Phone
(972) 230-2332
Fax
(972) 274-6756
NPI assigned
Oct 15, 2007
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Johnson Oommen
Title
Administrator
Phone
(214) 400-4524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013791 TX Primary

Addresses

Primary practice location

350 Oaks TRL Ste 140
Garland, TX 75043-8015

Mailing address

350 Oaks TRL Ste 140
Garland, TX 75043-8015
Phone (972) 230-2332

Other names 1

  • ALIVE HOME HEALTH CARE, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000714 TX Part A Provider - Home Health Agency 7315982196 Practice locations: Garland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275722332. Details of each certification follow.

Home health agency certification: CCN 747048

Legal name
ALIVE HOME HEALTH CARE, INC
Doing business as
ALIVE HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 31, 2008
Last certification
Jan 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 6, 2010 in TX
Enrollment address
350 Oaks Trail
Suite 140
Garland, TX 75043

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alive Home Health CareCCN 747048 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 31, 2008
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
45D1040973Alive Home Healthcare, Inc350 Oaks Trail Suite 140, Garland, TX 75043Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

350 Oaks Trl
Ste 140
Garland, TX 75043
Phone (972) 230-2332

2306 Oak Ln
#4B201
Grand Prairie, TX 75051
Phone (972) 262-2332

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
Johnson Oommen Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Oct 20, 2017 100%
Corporate DirectorDirector/Owner Oct 20, 2017 100%
W-2 Managing EmployeeDirector Nov 6, 2017 100%
Nissymole Poovathingal Pauly Individual W-2 Managing EmployeeAlternate Director of Nursing Nov 1, 2025
Annie Varghese Individual W-2 Managing EmployeeDirector of Nursing Jul 20, 2018
Cliff Johnson Individual W-2 Managing EmployeeAlternate Administrator Nov 6, 2017

Practitioners & affiliated clinicians

Practitioners 2

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 10

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1275722332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OAKS TRL STE 140",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438015",
            "telephone_number": "972-230-2332",
            "fax_number": "972-274-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OAKS TRL STE 140",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438015",
            "telephone_number": "972-230-2332",
            "fax_number": "972-274-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-400-4524"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALIVE HOME HEALTH CARE, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.