Macbon Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009067 Issued in TX

Legal business name

MACBON HOME HEALTH INC

Practice address

1720 S Edmonds LN
Ste 14
Lewisville, TX 75067-5805

Phone

(214) 346-1965

Fax

(214) 346-1980

NPI assigned

Apr 17, 2006

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Ogbennah Ginigeme

Title

President

Phone

(214) 346-1965

Specialties & licenses 1

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 1306801139. Details of each certification follow.

• CCN 673174 Home health agency · Active · Details

Home health agency certification: CCN 673174

Legal name

MACBON HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 22, 2005

Last certification

Jul 23, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

1720 S Edmonds LN
Ste 14
Lewisville, TX 75067-5863

Listed as

Macbon Home Health IncCCN 673174 · All quality measures

Ownership

Proprietary

Certified

Mar 22, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, 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

Locations

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.

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1306801139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S EDMONDS LN",
            "address_2": "STE 14",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675805",
            "telephone_number": "214-346-1965",
            "fax_number": "214-346-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S EDMONDS LN",
            "address_2": "STE 14",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675805",
            "telephone_number": "214-346-1965",
            "fax_number": "214-346-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACBON HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "GINIGEME",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "OGBENNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-346-1965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lewisville, TX
• Providers in Lewisville, 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 Dec 11, 2015; 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.