Organization Active NPI

Healthsource Home Care Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1669491874
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007443 Issued in TX
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

Updated by the provider on Nov 4, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 678376 · All quality measures
Ownership
Proprietary
Certified
Aug 9, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0919833Healthsource Home Care Inc5709 Dolores Street, Houston, TX 77057Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lucero Mejia Salinas Individual W-2 Managing EmployeeManagerial Apr 26, 2023
Uraiwan P Tesfaye Individual 5% Or Greater Direct Ownership InterestOwner/Administrator 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.

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

Sources for this page

Verify at the official NPI Registry.