Organization Active NPI

Med-Cert Pas Services LLC

  • In Home Supportive Care Agency
  • Garland, TX
National Provider Identifier
1386417392
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MED-CERT PAS SERVICES LLC
Practice address
1919 S Shiloh Rd Ste 655
Garland, TX 75042-8234
Phone
(972) 636-4155
Fax
(972) 215-7568
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mathew John
Title
Owner
Phone
(972) 636-4155

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X
Home Health Aide 374U00000X

Addresses

Primary practice location

1919 S Shiloh Rd Ste 655
Garland, TX 75042-8234

Mailing address

1919 S Shiloh Rd Ste 655
Garland, TX 75042-8234
Phone (972) 636-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328002614 TX Part A Provider - Home Health Agency 7618490772 Practice locations: Garland, TX

Home health agency certification: CCN 748165

Legal name
MED-CERT PAS SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 14, 2025
Last certification
Aug 14, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 26, 2023 in TX
Enrollment address
1919 S Shiloh Rd
Ste 655
Garland, TX 75042-8211
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Med-Cert Pas Services LLCCCN 748165
Ownership
Proprietary
Certified
Aug 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2310821Med-Cert Pas Services LLC1919 S Shiloh Rd Suite 309, Garland, TX 75042Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Locations

1919 S Shiloh Rd
Ste 655
Garland, TX 75042
Phone (972) 636-4155

Ownership & related parties

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.

NameRoleSinceShare
Mathew John Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 23, 2024 100%
Corporate DirectorDirect Owner Feb 23, 2024 100%
W-2 Managing EmployeeAd; Feb 23, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1386417392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S SHILOH RD STE 655",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428234",
            "telephone_number": "972-636-4155",
            "fax_number": "972-215-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S SHILOH RD STE 655",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428234",
            "telephone_number": "972-636-4155",
            "fax_number": "972-215-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CERT PAS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-636-4155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.