Active NPI
Cordial Care Home Health Services Inc
- Home Health Agency
- Dallas, TX
National Provider Identifier
1285868448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CORDIAL CARE HOME HEALTH SERVICES INC
- Practice address
- 10935 Estate Lane Suite 182
Dallas, TX 75238 - Phone
- (972) 603-6676
- Fax
- (214) 377-9919
- NPI assigned
- May 4, 2009
- Last updated
- Feb 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Titilope R Salaam
- Title
- Administrator
- Phone
- (972) 603-6676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10935 Estate Lane Suite 182
Dallas, TX 75238
Mailing address
10935 Estate Lane Suite 182
Dallas, TX 75238
Phone (972) 603-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110815000664 | TX | Part A Provider - Home Health Agency | 2062681752 | Practice locations: Dallas, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285868448. Details of each certification follow.
Home health agency certification: CCN 747747
- Legal name
- CORDIAL CARE HOME HEALTH SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 2, 2012
- Last certification
- Mar 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 30, 2008 in TX
- Enrollment address
- 10935 Estate LN
Ste 182
Dallas, TX 75238-2469
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Cordial Care Home Health Services Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 2, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
10935 Estate Ln
Ste 182
Dallas, TX 75238
Phone (972) 603-6676
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Titilope R Salaam | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 100% |
| Corporate Officer | Nov 1, 2021 | 100% | |
| Corporate Director | Nov 1, 2021 | 100% | |
| W-2 Managing Employee | Nov 1, 2021 |
Practitioners & affiliated clinicians
Affiliated clinicians 11
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": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1285868448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10935 ESTATE LANE SUITE 182",
"city": "DALLAS",
"state": "TX",
"postal_code": "75238",
"telephone_number": "972-603-6676",
"fax_number": "972-456-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10935 ESTATE LANE SUITE 182",
"city": "DALLAS",
"state": "TX",
"postal_code": "75238",
"telephone_number": "972-603-6676",
"fax_number": "214-377-9919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORDIAL CARE HOME HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "SALAAM",
"authorized_official_first_name": "TITILOPE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-603-6676",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.