Active NPI
Allegiance Home Health Services, LLC
Doing business as Amcare Pro Home Health of East Texas
- Home Health Agency
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008374
- Legal business name
- ALLEGIANCE HOME HEALTH SERVICES, LLC
- Doing business as
- Amcare Pro Home Health of East Texas
- Practice address
- 401 E Front St Ste 221C
Tyler, TX 75702-8293 - Phone
- (903) 593-1737
- Fax
- (903) 593-1752
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 21, 2026
- 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
- Mina Pakravan
- Title
- Don
- Phone
- (214) 987-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008374 | TX | Primary |
Addresses
Primary practice location
401 E Front St Ste 221C
Tyler, TX 75702-8293
Mailing address
1143 Rockingham Dr Ste 107
Richardson, TX 75080-4327
Phone (903) 593-1737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992513 | Medicaid | TX | |
| HH405H | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Amcare Pro Home Health of East Texas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090630000299 | TX | Part A Provider - Home Health Agency | 7113836024 | Practice locations: Tyler, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427026582. Details of each certification follow.
Home health agency certification: CCN 679290
- Legal name
- ALLEGIANCE HOME HEALTH SERVICES, LLC
- Doing business as
- AMCARE PRO HOME HEALTH OF EAST TEXAS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 10, 2003
- Last certification
- Sep 15, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 6, 2003 in TX
- Enrollment address
- 401 E Front St
Ste 221C
Tyler, TX 75702-8293
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Amcare Pro Home Health of East Texas
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 10, 2003
- 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 |
|---|---|---|---|
| 45D1009940 | Amcare Pro Home Health of East Texas | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
401 E Front St
Ste 221C
Tyler, TX 75702
Phone (903) 593-1737
401 E Front St
Ste 229
Tyler, TX 75702
Phone (903) 593-1737
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Insiya Bootwala | 5% Or Greater Direct Ownership Interest | Aug 19, 2022 | 51% |
| Helen Lynn Corley | 5% Or Greater Direct Ownership Interest | Jan 16, 2003 | |
| General Partnership Interest | Jan 16, 2003 | 15% | |
| Corporate Director | Jan 16, 2003 | 15% | |
| William Darrell Sheridan | General Partnership Interest | Jan 16, 2003 | 35% |
| Corporate Director | Jan 16, 2003 | 35% | |
| W-2 Managing Employee | Jan 16, 2003 | 35% | |
| Mufaddal Bootwala | Contracted Managing Employee | Feb 23, 2018 | 33% |
| 5% Or Greater Direct Ownership Interest | May 24, 2024 | 49% | |
| Corporate Officer | May 28, 2018 | 100% | |
| Corporate Director | May 28, 2018 | 100% | |
| W-2 Managing Employee | May 28, 2018 | 100% | |
| Operational/Managerial Control | May 28, 2018 | 100% | |
| Paula Suzanne Sheridan | General Partnership Interest | Jan 16, 2003 | 35% |
| Corporate Director | Jan 16, 2003 | 35% | |
| W-2 Managing Employee | Jan 16, 2003 | 35% | |
| Jim Don Sheridan | General Partnership Interest | Jan 16, 2003 | 15% |
| Corporate Director | Jan 16, 2003 | 15% |
Practitioners & affiliated clinicians
Practitioners 2
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
- Tyler, TX
- NPI 1568959427
-
- Surgical Assistant
- Tyler, TX
- NPI 1871225037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1427026582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 ROCKINGHAM DR STE 107",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804327",
"telephone_number": "903-593-1737",
"fax_number": "903-593-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E FRONT ST STE 221C",
"city": "TYLER",
"state": "TX",
"postal_code": "757028293",
"telephone_number": "903-593-1737",
"fax_number": "903-593-1752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGIANCE HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "PAKRAVAN",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "DON",
"authorized_official_telephone_number": "214-987-2100"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992513",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HH405H",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Amcare Pro Home Health of East Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.