Active NPI
Treasure Life Healthcare Services, Inc.
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009299
- Legal business name
- TREASURE LIFE HEALTHCARE SERVICES, INC.
- Doing business as
- Treasure Life Healthcare Services Inc
- Practice address
- 8111 LBJ Fwy Ste 1330a
Dallas, TX 75251-1313 - Phone
- (214) 484-6084
- Fax
- (214) 484-6554
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2023
- 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
- Prince V Samuel
- Title
- Alternate Administrator
- Phone
- (214) 484-6084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009299 | TX | Primary |
Addresses
Primary practice location
8111 LBJ Fwy Ste 1330a
Dallas, TX 75251-1313
Mailing address
8111 LBJ Fwy Ste 1330a
Dallas, TX 75251-1313
Phone (214) 484-6084
Other names 1
- Treasure Life Healthcare Services Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041111001071 | TX | Part A Provider - Home Health Agency | 2567426364 | Practice locations: Dallas, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689785289. Details of each certification follow.
Home health agency certification: CCN 457905
- Legal name
- TREASURE LIFE HEALTHCARE SERVICES INC
- Doing business as
- LIFELINE HEALTH CARE OF LINCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 25, 2005
- Last certification
- Nov 15, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 19, 2004 in TX
- Enrollment address
- 8111 LBJ Fwy
Ste 1330a
Dallas, TX 75251-1313
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Treasure Life Healthcare Services Incorporated
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 25, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
8111 LBJ
Ste 1330A
Dallas, TX 75251
Phone (214) 484-6084
8111 LBJ
Ste 1340A
Dallas, TX 75251
2306 Guthrie Rd
Ste 280
Garland, TX 75043
Phone (214) 484-6084
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Stacey M Murphy | W-2 Managing Employee | Nov 14, 2012 | |
| Mercy Mbride | Corporate Officer | Jun 6, 2012 | 100% |
| W-2 Managing Employee | Apr 19, 2004 | 100% | |
| Iyakinoabasi Mbride | Corporate Director | Nov 11, 2004 | |
| Valsamma Thomas | W-2 Managing Employee | Dec 1, 2019 | 100% |
| Ofonime a Daniel | Corporate Director | Nov 29, 2004 | |
| W-2 Managing Employee | Apr 19, 1961 | ||
| Thomas George | Corporate Director | Dec 1, 2019 | 100% |
| W-2 Managing Employee | Dec 1, 2019 | 100% | |
| Prince V Samuel | 5% Or Greater Direct Ownership Interest | Dec 1, 2019 | 50% |
| Corporate Director | Dec 1, 2019 | 100% | |
| W-2 Managing Employee | Dec 1, 2019 | ||
| Jennie Oommen | 5% Or Greater Direct Ownership Interest | Jun 6, 2012 | 1% |
| Corporate Officer | Jun 6, 2012 | 25% | |
| Corporate Director | Jun 6, 2012 | 25% | |
| W-2 Managing Employee | Jun 6, 2012 | 25% | |
| Latha Raju | 5% Or Greater Direct Ownership Interest | Dec 1, 2019 | |
| Corporate Officer | Jun 6, 2012 | 100% | |
| Corporate Director | Jun 6, 2012 | 50% | |
| W-2 Managing Employee | Dec 1, 2019 | 100% | |
| Mary Ajose | Corporate Officer | Dec 1, 2019 | |
| Corporate Director | Dec 1, 2019 | ||
| W-2 Managing Employee | Dec 1, 2019 | ||
| Ndianabasi Mbride | Corporate Director | Nov 29, 2004 | |
| Gregory G McCarthy | Corporate Officer | Nov 14, 2012 | |
| W-2 Managing Employee | Nov 14, 2012 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Mesquite, TX
- NPI 1194128678
Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1689785289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 LBJ FWY STE 1330A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511313",
"telephone_number": "214-484-6084",
"fax_number": "214-484-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 LBJ FWY STE 1330A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511313",
"telephone_number": "214-484-6084",
"fax_number": "214-484-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE LIFE HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "PRINCE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "214-484-6084"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Treasure Life Healthcare Services Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Treasure Life Healthcare Services Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
- Janelle Marie Traylor, NP-C
- Jeffrey Isaac Traylor, MD
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- Katherine Dooley Treadaway, LCSW
- Rachel Treadaway
- Kristina Spakovsky Treat, MD
- Treatment Associates
- Treatment Education and Addiction Management Inc (A plus Medical House Calls)
- Amanda Treber
- Tree of Life Birth Counseling and Wellness Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.