Organization Active NPI

Veba Home Health Services Inc

  • Home Health Agency
  • Wylie, TX
National Provider Identifier
1295324440
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 748103 · All quality measures
Ownership
-
Certified
Jun 22, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Veronica Mwangi Individual 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 Individual 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

Verify at the official NPI Registry.