Active NPI
Med-Cert Pas Services LLC
- In Home Supportive Care Agency
- Garland, TX
National Provider Identifier
1386417392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jul 26, 2023 in TX
- Enrollment address
- 1919 S Shiloh Rd
Ste 655
Garland, TX 75042-8211
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Med-Cert Pas Services LLC
- Ownership
- Proprietary
- Certified
- Aug 14, 2025
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, 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 |
|---|---|---|---|
| 45D2310821 | Med-Cert Pas Services LLC | Certificate of waiver | Sep 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mathew John | 5% Or Greater Direct Ownership Interest | Feb 23, 2024 | 100% |
| Corporate Director | Feb 23, 2024 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.