Organization Active NPI

Nnonyitum S Ejesieme

  • Home Health Agency
  • Rowlett, TX
National Provider Identifier
1619170297
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011635 Issued in TX
Legal business name
NNONYITUM S EJESIEME
Practice address
2504 Larkspur LN
Rowlett, TX 75089-6733
Phone
(972) 365-7147
Fax
(972) 463-1671
NPI assigned
Jun 9, 2007
Last updated
Jun 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Authorized official

Name
Nnonyitum S Ejesieme, RN
Title
Owner Administrator
Phone
(972) 365-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011635 TX Primary

Addresses

Primary practice location

2504 Larkspur LN
Rowlett, TX 75089-6733

Mailing address

2504 Larkspur LN
Rowlett, TX 75089-6733
Phone (972) 365-7147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000608 TX Part A Provider - Home Health Agency 8022188267 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesquite, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619170297. Details of each certification follow.

Home health agency certification: CCN 747182

Legal name
E-CARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 2009
Last certification
Nov 1, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2011 in TX
Enrollment address
3939 US Highway 80 E
Ste 326B
Mesquite, TX 75150-3354

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
E Care Home Health Services IncCCN 747182 · All quality measures
Ownership
Proprietary
Certified
Aug 11, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Bridget Ejesieme Individual Corporate OfficerAlternate Administrator Jun 1, 2013
W-2 Managing EmployeeAlternate Administrator Jun 1, 2013
Nnonyitum Ejesieme Individual 5% Or Greater Direct Ownership Interest Jun 9, 2007 100%
W-2 Managing Employee Jun 24, 2011
Operational/Managerial Control Jun 24, 2011

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1181347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212278400000",
    "number": "1619170297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 LARKSPUR LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750896733",
            "telephone_number": "972-365-7147",
            "fax_number": "972-463-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 LARKSPUR LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750896733",
            "telephone_number": "972-365-7147",
            "fax_number": "972-463-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNONYITUM S EJESIEME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-09",
        "last_updated": "2008-06-01",
        "status": "A",
        "authorized_official_last_name": "EJESIEME",
        "authorized_official_first_name": "NNONYITUM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "972-365-7147",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.