Organization Active NPI

Amy Home Health Services Inc.

  • Home Health Agency
  • Wylie, TX
National Provider Identifier
1427381920
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMY HOME HEALTH SERVICES INC.
Practice address
2905 Reata Dr
Wylie, TX 75098-7518
Phone
(972) 784-4248
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Precious Amarachi Ezeoma
Title
Alternate Admin/Supervising Nurse
Phone
(214) 803-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2905 Reata Dr
Wylie, TX 75098-7518

Mailing address

2905 Reata Dr
Wylie, TX 75098-7518
Phone (972) 784-4248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101008000317 TX Part A Provider - Home Health Agency 2860684826 Practice locations: Richardson, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427381920. Details of each certification follow.

Home health agency certification: CCN 747536

Legal name
AMY HOME HEALTH SERVICES INC.
Doing business as
ANY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 29, 2011
Last certification
May 10, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2009 in TX
Enrollment address
1221 Abrams Rd
Ste 232
Richardson, TX 75081-5581

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amy Home HealthCCN 747536 · All quality measures
Ownership
Proprietary
Certified
Apr 29, 2011
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
45D1107072Amy Home Health Services, Inc1221 Abrams Rd Suite 232, Richardson, TX 75081Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Precious Ezeoma Individual 5% Or Greater Direct Ownership Interest Jan 15, 2009 51%
Corporate DirectorPresident Jan 15, 2009
W-2 Managing EmployeeAdministrator, Suoervising Nurse Apr 1, 2014
Sampson Ezeoma Individual 5% Or Greater Direct Ownership Interest Jun 16, 2010 49%
Corporate Director Jun 16, 2010
Zita Onu Individual W-2 Managing EmployeeAlternate Administrator Apr 1, 2014

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1427381920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 REATA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987518",
            "telephone_number": "972-784-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 REATA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987518",
            "telephone_number": "972-784-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "EZEOMA",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_middle_name": "AMARACHI",
        "authorized_official_title_or_position": "ALTERNATE ADMIN/SUPERVISING NURSE",
        "authorized_official_telephone_number": "214-803-4486"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.