Active NPI
Passion 05 Health Services, Inc
- Home Health Agency
- Dallas, TX
National Provider Identifier
1588840599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PASSION 05 HEALTH SERVICES, INC
- Practice address
- 1140 Empire Central Dr Ste 630
Dallas, TX 75247-4393 - Phone
- (214) 253-2654
- Fax
- (214) 253-2655
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alero Tina Okundia, RN
- Title
- Administrator
- Phone
- (214) 253-2654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
1140 Empire Central Dr Ste 630
Dallas, TX 75247-4393
Mailing address
1140 Empire Central Dr Ste 630
Dallas, TX 75247-4393
Phone (214) 253-2654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060320000038 | TX | Part A Provider - Home Health Agency | 2062429871 | Practice locations: Dallas, TX |
Home health agency certification: CCN 679708
- Legal name
- PASSION 05 HEALTH SERVICES, INC
- Doing business as
- PASSION 05 HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 7, 2007
- Last certification
- Feb 21, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 30, 2005 in TX
- Enrollment address
- 1317 Empire Central Dr
Dallas, TX 75247-4021
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Passion 05 Health Services Inc
- Ownership
- Proprietary
- Certified
- Nov 7, 2007
- 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 |
|---|---|---|---|
| 45D1050627 | Passion 05 Health Services, Inc | Certificate of waiver | Feb 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
8500 N Stemmons Fwy
Ste 4025
Dallas, TX 75247
Phone (214) 253-2654
1317 Empire Central Dr
Dallas, TX 75247
Phone (214) 253-2654
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alero Okundia | 5% Or Greater Direct Ownership Interest | Sep 30, 2005 | 100% |
| Corporate Officer | Oct 1, 2005 | 100% | |
| Corporate Director | Oct 1, 2005 | 100% | |
| W-2 Managing Employee | Oct 1, 2005 | 100% | |
| Operational/Managerial Control | Oct 1, 2005 | 100% | |
| Sam Okundia | W-2 Managing Employee | Feb 6, 2006 | |
| Operational/Managerial Control | Feb 1, 2006 | ||
| Patricia Ikechukwu | Corporate Director | Apr 9, 2007 | |
| W-2 Managing Employee | Apr 9, 2007 | ||
| Operational/Managerial Control | Apr 9, 2007 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1588840599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR STE 630",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474393",
"telephone_number": "214-253-2654",
"fax_number": "214-253-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR STE 630",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474393",
"telephone_number": "214-253-2654",
"fax_number": "214-253-2655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSION 05 HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "OKUNDIA",
"authorized_official_first_name": "ALERO",
"authorized_official_middle_name": "TINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-253-2654",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Steven Pass, PHARMD
- Passage of Youth Family Center, Inc.
- Michael Vincent Passanante, M.D.
- Lillian Adelle Passauer, LCSW
- Neena Passi, M.D.
- Passionate Care Home Health Services, Inc.
- Passionate Home Health Services Inc
- Stephanie Pastrana Sanchez, DMD
- Saisindura Pasupuleti, D.C, M.S
- Jessica Patak, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.