Organization Active NPI

Mother Is Gold Home Health Care Inc

  • Home Health Agency
  • Pantego, TX
National Provider Identifier
1639308026
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOTHER IS GOLD HOME HEALTH CARE INC
Practice address
3610 W Pioneer Pkwy Ste 206
Pantego, TX 76013-4519
Phone
(469) 337-2693
Fax
(682) 518-6355
NPI assigned
Jul 7, 2009
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Ms. Josephine Nana Nzepah
Title
Administrator
Phone
(469) 337-2693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3610 W Pioneer Pkwy Ste 206
Pantego, TX 76013-4519

Mailing address

3610 W Pioneer Pkwy Ste 206
Pantego, TX 76013-4519
Phone (469) 337-2693

Other practice location 1

818 Hontley Dr
Arlington, TX 76001-6150
Phone (469) 337-2693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111004000628 TX Part A Provider - Home Health Agency 4284806837 Practice locations: Pantego, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639308026. Details of each certification follow.

Home health agency certification: CCN 747845

Legal name
MOTHER IS GOLD HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 14, 2013
Last certification
Jan 24, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2009 in TX
Enrollment address
3610 W Pioneer Pkwy
Ste 206
Pantego, TX 76013-4519

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hardy Home Health Care LLCCCN 747587
Ownership
Proprietary
Certified
Jun 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mother Is Gold Home Health Care IncCCN 747845 · All quality measures
Ownership
Proprietary
Certified
Mar 14, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3610 W Pioneer Pkwy
Ste 206
Pantego, TX 76013
Phone (469) 337-2693

Ownership & related parties

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.

NameRoleSinceShare
Josephine Nzepah Individual 5% Or Greater Direct Ownership Interest Mar 12, 2011 100%
W-2 Managing Employee Mar 12, 2011

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1639308026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W PIONEER PKWY STE 206",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134519",
            "telephone_number": "469-337-2693",
            "fax_number": "682-518-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W PIONEER PKWY STE 206",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134519",
            "telephone_number": "469-337-2693",
            "fax_number": "682-518-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Hontley Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760016150",
            "country_code": "US",
            "telephone_number": "469-337-2693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTHER IS GOLD HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "NZEPAH",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "NANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-337-2693",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

Verify at the official NPI Registry.