Active NPI
Gioderk Home Health Inc
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GIODERK HOME HEALTH INC
- Practice address
- 3439 Bellville Dr
Dallas, TX 75228-5679 - Phone
- (214) 603-2038
- Fax
- (214) 321-0019
- NPI assigned
- Jul 21, 2010
- Last updated
- Jul 21, 2010
- 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
- Emmanuel Onyia
- Title
- Administrator
- Phone
- (214) 603-2038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3439 Bellville Dr
Dallas, TX 75228-5679
Mailing address
3439 Bellville Dr
Dallas, TX 75228-5679
Phone (214) 603-2038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110214000426 | TX | Part A Provider - Home Health Agency | 4880874494 | Practice locations: Dallas, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336452101. Details of each certification follow.
Home health agency certification: CCN 747663
- Legal name
- GIODERK HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 27, 2011
- Last certification
- Oct 15, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Other
- Incorporated
- May 28, 2010 in TX
- Enrollment address
- 3439 Bellville Dr
Dallas, TX 75228-5679
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Gioderk Home Health Inc
- Ownership
- Proprietary
- Certified
- Dec 27, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2018276 | Gioderk Home Health Inc | Certificate of waiver | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Juliana Onyia | 5% Or Greater Direct Ownership Interest | Dec 22, 2010 | 55% |
| Corporate Director | Dec 22, 2010 | ||
| W-2 Managing Employee | Dec 22, 2010 | ||
| Emmanuel Onyia | 5% Or Greater Direct Ownership Interest | Nov 15, 2016 | 45% |
| Corporate Director | Jan 30, 2011 | ||
| W-2 Managing Employee | May 28, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1598248775
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1598248775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1336452101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 BELLVILLE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285679",
"telephone_number": "214-603-2038",
"fax_number": "214-321-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3439 BELLVILLE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285679",
"telephone_number": "214-603-2038",
"fax_number": "214-321-0019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIODERK HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "ONYIA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-603-2038"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.