1St Gentlecare Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010077 Issued in TX

Legal business name

1ST GENTLECARE HOME HEALTH, LLC

Doing business as

GentleCare Home Health

Practice address

1901 Central Dr Ste 300
Bedford, TX 76021-5825

Phone

(214) 905-1414

Fax

(214) 905-3441

NPI assigned

Oct 4, 2006

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emilia Mbanwite

Title

Administrator

Phone

(469) 636-4483

Specialties & licenses 5

Addresses

Other names 1

• GentleCare Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285729376. Details of each certification follow.

• CCN 679542 Home health agency · Active · Details

Home health agency certification: CCN 679542

Legal name

1ST GENTLECARE HOME HEALTH, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 30, 2006

Last certification

Sep 23, 2021

Ownership / control type

Proprietary

Organization structure

LLCNon-profit

Incorporated

Jan 1, 2007 in TX

Enrollment address

1901 Central Dr
Ste 300
Bedford, TX 76021-5825
HHA Branch

Listed as

1St Gentlecare Home Health LLCCCN 679542 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 30, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vivian C Agumadu, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1679711949

  Home health agency

  Care Compare affiliation
• Bhaviniben S Patel, M.D.

  • Family Medicine Physician
  • Mount Pleasant, TX
  • NPI 1437491727

  Home health agency

  Care Compare affiliation
• Eugene Jonathan Wyszynski, DO

  • Hematology & Oncology Physician
  • Farmers Branch, TX
  • NPI 1760431845

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1285729376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 300",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215825",
            "telephone_number": "214-905-1414",
            "fax_number": "214-905-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 300",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215825",
            "telephone_number": "214-905-1414",
            "fax_number": "214-905-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST GENTLECARE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "MBANWITE",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-636-4483"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010077",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GentleCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GentleCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.

Verify at the official NPI Registry.