Active NPI
Healthsource Home Care Inc
- Home Health Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007443
- Legal business name
- HEALTHSOURCE HOME CARE INC
- Practice address
- 5709 Dolores St
Houston, TX 77057-5711 - Phone
- (713) 592-5364
- Fax
- (713) 592-5324
- NPI assigned
- Jul 19, 2006
- 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
- Mr. Tekle Tesfaye, RPH
- Title
- Administrator
- Phone
- (713) 592-5364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007443 | TX | Primary |
Addresses
Primary practice location
5709 Dolores St
Houston, TX 77057-5711
Mailing address
5709 Dolores St
Houston, TX 77057-5711
Phone (713) 592-5364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091210000491 | TX | Part A Provider - Home Health Agency | 5193865822 | Practice locations: Houston, TX |
Home health agency certification: CCN 678376
- Legal name
- HEALTHSOURCE HOME CARE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 9, 1996
- Last certification
- Dec 27, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 22, 1999 in TX
- Enrollment address
- 5709 Dolores St
Houston, TX 77057-5711
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Healthsource Home Care Inc
- Ownership
- Proprietary
- Certified
- Aug 9, 1996
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical 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 |
|---|---|---|---|
| 45D0919833 | Healthsource Home Care Inc | Certificate of waiver | Sep 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
2215 Dorrington St
Houston, TX 77030
Phone (713) 592-5364
5709 Dolores St
Houston, TX 77057
Phone (713) 592-5364
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lucero Mejia Salinas | W-2 Managing Employee | Apr 26, 2023 | |
| Uraiwan P Tesfaye | 5% Or Greater Direct Ownership Interest | Apr 13, 2000 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Houston, TX
- NPI 1568324465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1669491874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 DOLORES ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575711",
"telephone_number": "713-592-5364",
"fax_number": "713-592-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 DOLORES ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575711",
"telephone_number": "713-592-5364",
"fax_number": "713-592-5324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "TESFAYE",
"authorized_official_first_name": "TEKLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-592-5364",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "007443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Healthquest Therapeutics, LLC
- Healthscripts of America-Houston Medical Center LLC
- Healthscripts of America-Stafford, LLC
- Healthsource Chiropractic of West Memorial
- Healthsource Clinics, LLC
- Healthsource of Copperfield, LLC
- Healthspring Life & Health Insurance Company, Inc.
- Healthspring Life & Health Insurance Company, Inc.
- Healthstar EMS Inc
- Healthstar, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.