NPIMap

Organization Active NPI

Healing Hands Ministries Inc.

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1306287529
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALING HANDS MINISTRIES INC.
Practice address
8515 Greenville Ave
Ste N-108
Dallas, TX 75243
Phone
(214) 221-0855
Fax
(214) 710-1303
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Rosa Natalie Gomez
Title
Credentialing Specialist
Phone
(214) 221-0855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9098239 TX
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8515 Greenville Ave
Ste N-108
Dallas, TX 75243

Mailing address

8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone (214) 221-0855

Other practice location 1

5750 Pineland Dr # 150
Dallas, TX 75231-5300
Phone (214) 379-9343

Other identifiers 1

IdentifierTypeStateIssuer
332302404MedicaidTX

Other names 2

  • Healing Hands Ministries Greenville Family Doing business as
  • Healing Hands Ministries Vickery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141021000182 TX Part B Supplier - Clinic/Group Practice 8527289339 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Dallas, TX
O20160525002581 TX Part A Provider - Federally Qualified Health Center (FQHC) 8527289339 Practice locations: Dallas, TX
O20180725002074 TX Part A Provider - Federally Qualified Health Center (FQHC) 8527289339 1 other NPI on this enrollment
Practice locations: Dallas, TX

Federally qualified health center certification: CCN 741924

Legal name
HEALING HANDS MINISTRIES INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 20, 2016
Last certification
May 20, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 15, 2005 in TX
Enrollment address
8515 Greenville Ave
Suite N-108
Dallas, TX 75243-7035

Federally qualified health center certification: CCN 451021

Legal name
HEALING HANDS MINISTRIES INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2018
Last certification
Oct 20, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2006 in TX
Enrollment address
5750 Pineland Dr
Ste 150
Dallas, TX 75231-5300

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5750 Pineland Dr
Ste 349
Dallas, TX 75231

5750 Pineland Dr
#150
Dallas, TX 75231
Phone (214) 379-4393

5750 Pineland Dr
Ste N
Dallas, TX 75231

5750 Pineland Dr
Ste 150
Dallas, TX 75231
Phone 21422108552034

5750 Pineland Dr
Ste 250
Dallas, TX 75231

5750 Pineland Dr
Ste 260
Dallas, TX 75231
Phone 2142210855128

Ownership & related parties

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.

NameRoleSinceShare
David Hernandez Individual Corporate DirectorCfo Jan 20, 2020
Brian a Hawkins Individual Corporate OfficerCeo May 3, 2021
W-2 Managing EmployeeCeo May 3, 2021
Corporate Director May 3, 2021
W-2 Managing EmployeeCeo & President May 3, 2021
Jason K Wallace Individual Corporate DirectorCoo Jan 16, 2018

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healing Hands Ministries Woodhill Pediatric Health CenterDallas, TX, CCN 451198 Federally qualified health center Operational/Managerial Control May 1, 2008
HHM Health Mesquite Family Health CenterMesquite, TX, CCN 971052 Federally qualified health center Limited Partnership Interest Jun 19, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1306287529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 GREENVILLE AVE STE N108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437035",
            "telephone_number": "214-221-0855",
            "fax_number": "214-221-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 GREENVILLE AVE",
            "address_2": "STE N-108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-221-0855",
            "fax_number": "214-710-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Pineland Dr # 150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752315300",
            "country_code": "US",
            "telephone_number": "214-379-9343",
            "fax_number": "214-234-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HANDS MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "214-221-0855"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "9098239",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332302404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Ministries Greenville Family",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Hands Ministries Vickery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.