Active NPI
Veba Home Health Services Inc
- Home Health Agency
- Wylie, TX
National Provider Identifier
1295324440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VEBA HOME HEALTH SERVICES INC
- Practice address
- 808 S Ballard Ave Ste 140a
Wylie, TX 75098-4208 - Phone
- (469) 277-0906
- Fax
- (214) 299-8669
- NPI assigned
- Jan 12, 2021
- Last updated
- Oct 23, 2024
- 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
- Basil Eneji
- Title
- Administrator
- Phone
- (214) 716-9794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
808 S Ballard Ave Ste 140a
Wylie, TX 75098-4208
Mailing address
4412 Randall CT
Sachse, TX 75048-4352
Phone (214) 716-9794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220906003064 | TX | Part A Provider - Home Health Agency | 7315321627 | Practice locations: Wylie, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295324440. Details of each certification follow.
Home health agency certification: CCN 748103
- Legal name
- VEBA HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 22, 2023
- Last certification
- Jun 9, 2023
- Organization structure
- Corporation
- Incorporated
- Dec 28, 2020 in TX
- Enrollment address
- 808 S Ballard Ave
Ste 140a
Wylie, TX 75098-4208
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Veba Home Health Services Inc
- Ownership
- -
- Certified
- Jun 22, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
808 S Ballard Ave
Ste 140A
Wylie, TX 75098
Phone (214) 716-9794
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Veronica Mwangi | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 50% |
| Corporate Officer | Dec 28, 2020 | ||
| Corporate Director | Dec 28, 2020 | ||
| W-2 Managing Employee | Dec 28, 2020 | ||
| Operational/Managerial Control | Dec 28, 2020 | ||
| Basil Eneji | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 50% |
| Corporate Officer | Dec 28, 2020 | ||
| Corporate Director | Dec 28, 2020 | ||
| W-2 Managing Employee | Dec 28, 2020 | ||
| Operational/Managerial Control | Dec 28, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1295324440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 RANDALL CT",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484352",
"telephone_number": "214-716-9794",
"fax_number": "214-299-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S BALLARD AVE STE 140A",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984208",
"telephone_number": "469-277-0906",
"fax_number": "214-299-8669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEBA HOME HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "ENEJI",
"authorized_official_first_name": "BASIL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-716-9794"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.