Brooks Home Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BROOKS HOME CARE SERVICES INC

Practice address

9304 Forest LN Ste N165A
Dallas, TX 75243-6238

Phone

(214) 774-9463

Fax

(972) 382-5559

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Lillian Odiachi

Title

Administrator

Phone

(214) 774-9463

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747488

Legal name

BROOKS HOME CARE SERVICES INC

Doing business as

BAKERS HOME CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 28, 2010

Last certification

Feb 20, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 22, 2007 in TX

Enrollment address

9304 Forest LN
Ste N165A
Dallas, TX 75243-6238

Listed as

Brooks Home Care Services IncCCN 747488

Ownership

Proprietary

Certified

Nov 28, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Annette Johnson

  • Home Health Agency
  • Dallas, TX
  • NPI 1093956823
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1568634962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N165A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-774-9463",
            "fax_number": "972-382-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N165A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-774-9463",
            "fax_number": "972-382-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "ODIACHI",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-774-9463"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Lauren Broodo
• Joel W Brook, D.P.M.
• Matthew Gordon Brooker, DO
• Monica Brookhart, LPC-I
• Olivia Brookins
• Alyssa Brooks
• Amber Brooks, D.C.
• Bailey Brooks
• Barry D Brooks, M.D.
• Carole Elaine Brooks, MA, CCC-SLP

• 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 Sep 21, 2020; 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.