X-Tra Health Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

X-TRA HEALTH CARE SERVICES INC

Practice address

777 S Central Expy Ste 7H
Richardson, TX 75080-7422

Phone

(214) 388-0200

Fax

(214) 388-0215

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Gwendolyne Seriki

Title

Administrator

Phone

(214) 388-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747554

Legal name

X-TRA HEALTHCARE SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 11, 2011

Last certification

Jun 25, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2008 in TX

Enrollment address

777 S Central Expy
Ste 7H
Richardson, TX 75080-7422

Listed as

Xtra Health Care Services IncCCN 747554 · All quality measures

Ownership

Proprietary

Certified

May 11, 2011

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

All disclosed owners & managing parties 2

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.

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  NPD

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1588800320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY STE 7H",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807422",
            "telephone_number": "214-388-0200",
            "fax_number": "214-388-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CENTRAL EXPY STE 7H",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807422",
            "telephone_number": "214-388-0200",
            "fax_number": "214-388-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-TRA HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "SERIKI",
        "authorized_official_first_name": "GWENDOLYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-388-0200"
    },
    "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 Richardson, TX
• Providers in Richardson, 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 Aug 31, 2021; 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.