Breeze Home Healthcare,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BREEZE HOME HEALTHCARE,LLC

Practice address

346 Oaks TRL Ste 218
Garland, TX 75043-4094

Phone

(469) 321-1603

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

George M Mathew

Title

Administrator

Phone

(469) 321-1603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747555

Legal name

BREEZE HOME HEALTHCARE,LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 15, 2011

Last certification

Sep 14, 2021

Ownership / control type

Proprietary

Organization structure

LLCNon-profit

Enrollment address

346 Oaks TRL
Ste 218
Garland, TX 75043-4094

Listed as

Breeze Home Healthcare LLCCCN 747555

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Apr 15, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1740422385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BLUE JAY RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432543",
            "telephone_number": "469-321-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 OAKS TRL STE 218",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434094",
            "telephone_number": "469-321-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE HOME HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-321-1603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.