Organization Active NPI

Rosyray Home Care Services Inc

  • Home Health Agency
  • Irving, TX
National Provider Identifier
1801108287
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROSYRAY HOME CARE SERVICES INC
Practice address
2121 W Airport Fwy Ste 320
Irving, TX 75062-6028
Phone
(214) 529-6820
Fax
(972) 584-9292
NPI assigned
Jul 13, 2010
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Raymond Onyekwere
Title
Administrator
Phone
(214) 529-6820

Specialties & licenses 2

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

Addresses

Primary practice location

2121 W Airport Fwy Ste 320
Irving, TX 75062-6028

Mailing address

2121 W Airport Fwy Ste 320
Irving, TX 75062-6028
Phone (214) 529-6820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000210 TX Part A Provider - Home Health Agency 7214110139 Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801108287. Details of each certification follow.

Home health agency certification: CCN 747706

Legal name
ROSYRAY HOME CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 21, 2012
Last certification
Apr 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 30, 2010 in TX
Enrollment address
2121W Airport Fwy 320
Irving, TX 75062-6028

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rosyray Home Care Services IncCCN 747706 · All quality measures
Ownership
Proprietary
Certified
May 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2121 W Airport Fwy
Ste 320
Irving, TX 75062
Phone (214) 529-6820

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
Rosita Nwankwo Individual 5% Or Greater Direct Ownership Interest Jan 31, 2011
Corporate Director Jan 31, 2011
Raymond Onyekwere Individual 5% Or Greater Direct Ownership Interest Jan 31, 2011
Corporate Director Jan 31, 2011
W-2 Managing Employee Jan 31, 2011

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1801108287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W AIRPORT FWY STE 320",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626028",
            "telephone_number": "214-529-6820",
            "fax_number": "972-584-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W AIRPORT FWY STE 320",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626028",
            "telephone_number": "214-529-6820",
            "fax_number": "972-584-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSYRAY HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "ONYEKWERE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-529-6820"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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 Irving, TX

Sources for this page

Verify at the official NPI Registry.