NPIMap

Organization Active NPI

Amatus Health Care LLC

  • Home Health Agency
  • Farmers Branch, TX
National Provider Identifier
1619295268
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
016315 Issued in TX
Legal business name
AMATUS HEALTH CARE LLC
Practice address
2010 Valley View LN Ste 200
Farmers Branch, TX 75234-8915
Phone
(972) 249-4999
Fax
(972) 468-6991
NPI assigned
May 6, 2010
Last updated
Jul 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Authorized official

Name
Saji Raju
Title
Owner/Administrator
Phone
(972) 249-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 016315 TX Primary

Addresses

Primary practice location

2010 Valley View LN Ste 200
Farmers Branch, TX 75234-8915

Mailing address

2010 Valley View LN Ste 200
Farmers Branch, TX 75234-8915
Phone (972) 249-4999

Other practice location 1

2735 Villa Creek Dr Ste 240
Dallas, TX 75234-7419
Phone (972) 249-4999

Other identifiers 1

IdentifierTypeStateIssuer
309929301MedicaidTX

Other names 1

  • INTEGRIS HOME HEALTH CARE LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101227000181 TX Part A Provider - Home Health Agency 2860680451 Practice locations: Farmers Branch, TX
O20210217000391 TX Part B Supplier - Home Infusion Therapy Supplier 2860680451 Practice locations: Farmers Branch, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619295268. Details of each certification follow.

Home health agency certification: CCN 747682

Legal name
AMATUS HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 2011
Last certification
Sep 3, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 19, 2010 in TX
Enrollment address
2010 Valley View LN
Ste 200
Farmers Branch, TX 75234-8915

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amatus Health Care LLCCCN 747682 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 2, 2011
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

Locations

2735 Villa Creek Dr
Ste 142
Dallas, TX 75234
Phone (972) 249-4999

2735 Villa Creek Dr
Ste 240
Dallas, TX 75234
Phone (972) 249-4999

2010 Valley View Ln
Ste 200
Farmers Branch, TX 75234
Phone (972) 249-4999

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
Saji Raju Individual 5% Or Greater Direct Ownership InterestAlt Administrator Jan 3, 2014 50%
Corporate OfficerPresident Jan 3, 2014 50%
Corporate Director Nov 5, 2010
Operational/Managerial ControlPresident Jan 3, 2014 50%
Dillon K Mathew Individual 5% Or Greater Direct Ownership InterestAdministrator Jan 3, 2014 50%
Corporate OfficerVice President Jan 3, 2014 50%
Corporate Director Nov 5, 2010
Operational/Managerial ControlVice President Jan 3, 2014 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 84

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625356800000",
    "number": "1619295268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 VALLEY VIEW LN STE 200",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348915",
            "telephone_number": "972-249-4999",
            "fax_number": "972-468-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 VALLEY VIEW LN STE 200",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348915",
            "telephone_number": "972-249-4999",
            "fax_number": "972-468-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2735 Villa Creek Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347419",
            "country_code": "US",
            "telephone_number": "972-249-4999",
            "fax_number": "972-468-6991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMATUS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "SAJI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "972-249-4999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309929301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS HOME HEALTH CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "INTEGRIS HOME HEALTH CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.