Organization Active NPI

Winners Community Health Services, Incorporated

  • Home Health Agency
  • Terrell, TX
National Provider Identifier
1831337237
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010281 Issued in TX
Legal business name
WINNERS COMMUNITY HEALTH SERVICES, INCORPORATED
Practice address
500 E High St
Terrell, TX 75160-2836
Phone
(972) 524-6913
Fax
(972) 551-1268
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Mrs. Nusi A Amusan, MS, RD
Title
Ceo/Administrator
Phone
(972) 524-6913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010281 TX Primary

Addresses

Primary practice location

500 E High St
Terrell, TX 75160-2836

Mailing address

500 E High St
Terrell, TX 75160-2836
Phone (972) 524-6913

Other identifiers 1

IdentifierTypeStateIssuer
001014109MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000609 TX Part A Provider - Home Health Agency 6103980479 Practice locations: Terrell, TX

Home health agency certification: CCN 747273

Legal name
WINNERS COMMUNITY HEALTH SERVICES, INCORPORATED
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 2009
Last certification
Sep 19, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2005 in TX
Enrollment address
500 East High Street
Terrell, TX 75160-2836

Care Compare: Home health agency

Medicare Care Compare
Listed as
Winners Community Health Services IncCCN 747273 ยท All quality measures
Ownership
Proprietary
Certified
Nov 3, 2009
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
Tax ID family
Winners Community Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nusi Amusan Individual 5% Or Greater Direct Ownership Interest Sep 8, 2008
W-2 Managing Employee Sep 8, 2008

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1831337237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HIGH ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602836",
            "telephone_number": "972-524-6913",
            "fax_number": "972-551-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HIGH ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602836",
            "telephone_number": "972-524-6913",
            "fax_number": "972-551-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNERS COMMUNITY HEALTH SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "AMUSAN",
        "authorized_official_first_name": "NUSI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "972-524-6913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014109",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.