Medlink Network, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

017009 Issued in TX

Legal business name

MEDLINK NETWORK, LLC

Doing business as

Medsource Health Care System

Practice address

8100 Liberty Grove Rd Unit 100
Rowlett, TX 75089-2319

Phone

(972) 572-9783

Fax

(972) 572-9782

NPI assigned

Nov 30, 2006

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jocelyn Ann Garcia

Title

Ceo/Administrator

Phone

(972) 572-9783

Specialties & licenses 4

Addresses

Other names 1

• Medsource Health Care System Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437226560. Details of each certification follow.

• CCN 679551 Home health agency · Active · Details

Home health agency certification: CCN 679551

Legal name

MEDLINK NETWORK LLC

Doing business as

MEDSOURCE HEALTH CARE SYSTEM

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 31, 2006

Last certification

Jul 3, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 13, 2006 in TX

Enrollment address

8100 Liberty Grove Rd
Unit 100
Rowlett, TX 75089-2319

Listed as

Medsource Health Care SystemCCN 679551 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Aug 31, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: admin@medsource.care

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.

Affiliated clinicians 6

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

• Randibella T Achere, DNP, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1629402896

  Home health agency

  Care Compare affiliation
• Kimberli Nekishia Johnson, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1992996680

  Home health agency

  Care Compare affiliation
• Katrina Mason - Green

  • General Practice Registered Nurse
  • Anna, TX
  • NPI 1710600135

  Home health agency

  Care Compare affiliation
• David T D Pham, APRN-FNP

  • Family Nurse Practitioner
  • Mesquite, TX
  • NPI 1487849188

  Home health agency

  Care Compare affiliation
• Ruth Ete Sakwe

  • Family Nurse Practitioner
  • Forney, TX
  • NPI 1104665769

  Home health agency

  Care Compare affiliation
• Robert Alan Woodward, M.D.

  • Adult Medicine Physician
  • Rockwall, TX
  • NPI 1720247604

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1437226560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 LIBERTY GROVE RD UNIT 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750892319",
            "telephone_number": "972-572-9783",
            "fax_number": "972-572-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LIBERTY GROVE RD UNIT 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750892319",
            "telephone_number": "972-572-9783",
            "fax_number": "972-572-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JOCELYN ANN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "972-572-9783",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010607",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "017009",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@medsource.care",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8100 Liberty Grove Rd Unit 100",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750892319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Medsource Health Care System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medsource Health Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medesystem
• Medical Edge Healthcare Group PA (Benchmark Family of Medicine of Rowlett)
• Medical Edge Healthcare Group PA (Benchmark Family Medicine)
• Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
• Medles Enterprises LLC (Medles Medical Supply Co)
• Peter Melek
• Angela Melendez, M.A., CCC-SLP
• Fernanda Mendez Avila
• Anastasia Blaze Mendoza
• Vanessa L Mendoza, LVN

• Home Health Agency in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.

Verify at the official NPI Registry.