NPIMap

Organization Active NPI

Amatus Health Care East Texas Inc

  • Home Health Agency
  • Sulphur Springs, TX
National Provider Identifier
1720648652
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMATUS HEALTH CARE EAST TEXAS INC
Practice address
301 Gilmer St Ste a
Sulphur Springs, TX 75482-2773
Phone
(903) 231-0402
Fax
(903) 231-0403
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Dillon Mathew, PA
Title
Owner
Phone
(214) 878-4746

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

301 Gilmer St Ste a
Sulphur Springs, TX 75482-2773

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316002197 TX Part A Provider - Home Health Agency 2264860758 Practice locations: Sulphur Springs, TX

Home health agency certification: CCN 748040

Legal name
AMATUS HEALTH CARE EAST TEXAS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 16, 2022
Last certification
Sep 3, 2021
Organization structure
CorporationProprietary
Incorporated
Apr 3, 2019 in TX
Enrollment address
301 Gilmer St
Ste a
Sulphur Springs, TX 75482-2773
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amatus Health Care East Texas IncCCN 748040
Overall star rating
4 of 5
Ownership
-
Certified
May 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2189389Amatus Health Care East Texas, Inc301 Gilmer Street, Ste a, Sulphur Springs, TX 75482Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

Locations

301 Gilmer St
Ste A
Sulphur Springs, TX 75482
Phone (903) 231-0402

Ownership & related parties

All disclosed owners & managing parties 4

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 InterestOwner Mar 20, 2023 50%
Corporate OfficerVice President Mar 20, 2023 50%
Micca Sheedy Individual W-2 Managing EmployeeAdminstrator Mar 20, 2023
Operational/Managerial ControlAdministrator Mar 20, 2023
Karen Normandeau Individual W-2 Managing EmployeeAlt Administrator Mar 20, 2023
Operational/Managerial ControlAlt Administrator Mar 20, 2023
Dillon K Mathew Individual 5% Or Greater Direct Ownership InterestOwner Mar 20, 2023 50%
Corporate OfficerPresident Mar 20, 2023 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.

  • Ujay Egbuji
    • Family Nurse Practitioner
    • North Richland Hills, TX
    • NPI 1891238176
    NPD

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1720648652",
    "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": "301 GILMER ST STE A",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822773",
            "telephone_number": "903-231-0402",
            "fax_number": "903-231-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMATUS HEALTH CARE EAST TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-878-4746",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.