Envision Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENVISION HOME HEALTH CARE, LLC

Practice address

310 East I 30
Suite 314
Garland, TX 75043-8000

Phone

(972) 285-7286

Fax

(972) 285-7286

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Samuel Koshy

Title

Sole Proprietor

Phone

(214) 450-4306

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285804211. Details of each certification follow.

• CCN 747266 Home health agency · Active · Details

Home health agency certification: CCN 747266

Legal name

ENVISION HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 21, 2009

Last certification

Dec 11, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 17, 2008 in TX

Enrollment address

310 E-I30
Suite 314
Garland, TX 75043-8000

Listed as

Envision Home Health Care LLCCCN 747266 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 21, 2009

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

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.

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1285804211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EAST I 30",
            "address_2": "SUITE 314",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438000",
            "telephone_number": "972-285-7286",
            "fax_number": "972-285-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EAST I 30",
            "address_2": "SUITE 314",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438000",
            "telephone_number": "972-285-7286",
            "fax_number": "972-285-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "214-450-4306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.