Garland Home Healthcare Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008773 Issued in TX

Legal business name

GARLAND HOME HEALTHCARE AGENCY INC

Practice address

3302 Blueridge LN
Garland, TX 75042-4817

Phone

(214) 876-9669

Fax

(972) 276-3305

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Linus Ayozie

Title

Administrator

Phone

(214) 876-9669

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 453128

Legal name

GARLAND HOME HEALTHCARE AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 26, 2004

Last certification

Jan 30, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 30, 2003 in TX

Enrollment address

3302 Blueridge LN
Garland, TX 75042-4817
HHA Branch

Listed as

Garland Home Healthcare Agency IncCCN 453128

Ownership

Proprietary

Certified

Aug 26, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

All disclosed owners & managing parties 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1356418057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 BLUERIDGE LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424817",
            "telephone_number": "214-876-9669",
            "fax_number": "972-276-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BLUERIDGE LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424817",
            "telephone_number": "214-876-9669",
            "fax_number": "972-276-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND HOME HEALTHCARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "AYOZIE",
        "authorized_official_first_name": "LINUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-876-9669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008773",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garland, TX
• Providers in Garland, 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 Apr 12, 2019; 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.