Organization Active NPI

Allegiance Home Health Services, LLC

Doing business as Amcare Pro Home Health of East Texas

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1427026582
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008374 Issued in TX
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1992513MedicaidTX
HH405HOtherBLUE CROSS BLUE SHIELD

Other names 1

  • Amcare Pro Home Health of East Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 TexasCCN 679290 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 10, 2003
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
45D1009940Amcare Pro Home Health of East Texas401 E Front Street, Suite 221- C, Tyler, TX 75702Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Insiya Bootwala Individual 5% Or Greater Direct Ownership Interest Aug 19, 2022 51%
Helen Lynn Corley Individual 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 Individual General Partnership Interest Jan 16, 2003 35%
Corporate Director Jan 16, 2003 35%
W-2 Managing EmployeeAdministrator/Cfo Jan 16, 2003 35%
Mufaddal Bootwala Individual Contracted Managing Employee Feb 23, 2018 33%
5% Or Greater Direct Ownership Interest May 24, 2024 49%
Corporate OfficerCeo May 28, 2018 100%
Corporate DirectorChairman of the Board May 28, 2018 100%
W-2 Managing EmployeeAdmin May 28, 2018 100%
Operational/Managerial ControlAdmin May 28, 2018 100%
Paula Suzanne Sheridan Individual General Partnership Interest Jan 16, 2003 35%
Corporate Director Jan 16, 2003 35%
W-2 Managing EmployeeAlt.Administrator/Don Jan 16, 2003 35%
Jim Don Sheridan Individual 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.

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

Verify at the official NPI Registry.