Imanuel Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMANUEL HEALTH SERVICES, LLC

Practice address

10717 Spyglass HL
Rowlett, TX 75089-8442

Phone

(214) 663-3175

Fax

(972) 475-7617

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Amaka Alintah, RN

Title

Administrator

Phone

(214) 663-3175

Specialties & licenses 1

Addresses

Other names 1

• Imanuel Health Services, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747496

Legal name

IMANUEL HEALTH SERVICES, LLC

Doing business as

IMANUEL HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 2, 2011

Last certification

Nov 14, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 22, 2012 in TX

Enrollment address

10717 Spyglass Hill
Rowlett, TX 75089-8442

Listed as

Imanuel Health ServicesCCN 747496

Ownership

Proprietary

Certified

Jan 2, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Victorine Tebong, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1093344400

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1326116294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 SPYGLASS HL",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898442",
            "telephone_number": "214-663-3175",
            "fax_number": "972-475-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 SPYGLASS HL",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898442",
            "telephone_number": "214-663-3175",
            "fax_number": "972-475-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANUEL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "ALINTAH",
        "authorized_official_first_name": "AMAKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-663-3175",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imanuel Health Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jemal Ibrahim
• Icon Surgical PLLC
• Ideal Physical Therapy of Texas LLC
• Yanely Illas Figueroa
• Imanuel Health Services Inc.
• Impulse Neuro LLC
• Interventional Pain and Rehab Center, PLLC
• Interventional Partners LLC
• Interventional Partners PLLC
• Ionm, LLC

• Home Health Agency in Rowlett, TX
• Providers in Rowlett, 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 Sep 13, 2017; 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.