Promise Homehealth Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMISE HOMEHEALTH INC.

Practice address

10114 Ekukpe Dr
Dallas, TX 75217-2809

Phone

(972) 603-6939

Fax

(469) 930-8897

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raphael Atuegbunam Onyedinma, RN

Title

Administrator

Phone

(972) 603-6939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747041

Legal name

PROMISE HOMEHEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 29, 2009

Last certification

Jun 1, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 6, 2006 in TX

Enrollment address

10114 Ekukpe Dr
Dallas, TX 75217-2809

Listed as

Promise Homehealth IncCCN 747041 · All quality measures

Ownership

Proprietary

Certified

Jan 29, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1497826846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 SILVER CREEK DR.",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812967",
            "telephone_number": "972-603-6939",
            "fax_number": "469-930-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 EKUKPE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752172809",
            "telephone_number": "972-603-6939",
            "fax_number": "469-930-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HOMEHEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ONYEDINMA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "ATUEGBUNAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-603-6939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, 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 Jan 13, 2017; 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.