Active NPI
MHH Incorporated
- Home Health Agency
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 010272
- Legal business name
- MHH INCORPORATED
- Doing business as
- Maranatha Home Health
- Practice address
- 3200 S Carrier Pkwy
Suite 201
Grand Prairie, TX 75052-3727 - Phone
- (972) 992-0190
- Fax
- (972) 852-1682
- NPI assigned
- May 30, 2006
- Organization subpart
- Yes
- Parent organization
- MHH INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Daisy Sorisantos Sarmiento, RN BSN
- Title
- Administrator
- Phone
- (817) 726-4275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010272 | TX | Primary |
Addresses
Primary practice location
3200 S Carrier Pkwy
Suite 201
Grand Prairie, TX 75052-3727
Mailing address
3200 S Carrier Pkwy
Suite 201
Grand Prairie, TX 75052-3727
Phone (972) 992-0190
Other names 1
- Maranatha Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081008000763 | TX | Part A Provider - Home Health Agency | 9830107036 | Practice locations: Arlington, TX |
Home health agency certification: CCN 743186
- Legal name
- MHH INCORPORATED
- Doing business as
- MARANATHA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 26, 2008
- Last certification
- Mar 19, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 26, 2005 in TX
- Enrollment address
- 903 Medical Centre Dr
Ste C
Arlington, TX 76012-4754
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Maranatha Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 26, 2008
- 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 |
|---|---|---|---|
| 45D1069715 | Maranatha Home Health | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- MHH Incorporated
Locations
2451 Robinson Rd
Ste 100
Grand Prairie, TX 75051
Phone (972) 992-0190
2100 Virginia St
Ste 100A
Grand Prairie, TX 75051
Phone (972) 992-0190
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Barry Sorisantos | 5% Or Greater Direct Ownership Interest | Sep 2, 2008 | 25% |
| 5% Or Greater Security Interest | Sep 2, 2008 | ||
| General Partnership Interest | Sep 2, 2008 | ||
| Corporate Director | Sep 2, 2008 | ||
| W-2 Managing Employee | Sep 2, 2008 | ||
| Maria Sorisantos | 5% Or Greater Direct Ownership Interest | Sep 2, 2008 | 25% |
| 5% Or Greater Security Interest | Sep 2, 2008 | 25% | |
| General Partnership Interest | Sep 2, 2008 | 25% | |
| Corporate Director | Sep 2, 2008 | ||
| W-2 Managing Employee | Sep 2, 2008 | ||
| Daisy Sarmiento | 5% Or Greater Direct Ownership Interest | Aug 1, 2014 | 25% |
| Corporate Officer | Aug 1, 2014 | 25% | |
| Corporate Director | Sep 2, 2008 | ||
| W-2 Managing Employee | Sep 2, 2008 | ||
| Roger Sarmiento | 5% Or Greater Direct Ownership Interest | Sep 2, 2008 | 25% |
| Corporate Director | Sep 2, 2008 | ||
| MHH Incorporated | Operational/Managerial Control | Aug 1, 2014 | 100% |
Practitioners & affiliated clinicians
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": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1497702658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S CARRIER PKWY",
"address_2": "SUITE 201",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523727",
"telephone_number": "972-992-0190",
"fax_number": "972-852-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S CARRIER PKWY",
"address_2": "SUITE 201",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523727",
"telephone_number": "972-992-0190",
"fax_number": "972-852-1682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MHH INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MHH INCORPORATED",
"enumeration_date": "2006-05-30",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "SARMIENTO",
"authorized_official_first_name": "DAISY",
"authorized_official_middle_name": "SORISANTOS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-726-4275",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "010272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maranatha Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Audrey Miao, APRN
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- Michael Keith Dibble Jr., PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.