Active NPI
Envital Healthcare Inc
- Home Health Agency
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ENVITAL HEALTHCARE INC
- Practice address
- 1609 Warm Springs Dr
Allen, TX 75002-1884 - Phone
- (214) 697-0023
- Fax
- (214) 509-9452
- NPI assigned
- Apr 11, 2019
- 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
- Dorothy Effanga
- Title
- Administrator
- Phone
- (214) 697-0023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1609 Warm Springs Dr
Allen, TX 75002-1884
Mailing address
1609 Warm Springs Dr
Allen, TX 75002-1884
Phone (214) 697-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200213000798 | TX | Part A Provider - Home Health Agency | 3577999465 | Practice locations: Allen, TX |
Home health agency certification: CCN 748015
- Legal name
- ENVITAL HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 9, 2021
- Last certification
- Oct 25, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 4, 2019 in TX
- Enrollment address
- 1609 Warm Springs Dr
Allen, TX 75002-1884
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Envital Healthcare Inc
- Ownership
- Proprietary
- Certified
- Jun 9, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2172694 | Envital Healthcare, Inc | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Kate Nwadeyi | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 50% |
| Corporate Director | Mar 4, 2019 | 50% | |
| Operational/Managerial Control | Mar 4, 2019 | 50% | |
| Dorothy Effanga | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 25% |
| Corporate Director | Mar 4, 2019 | 25% | |
| Operational/Managerial Control | Mar 4, 2019 | 25% | |
| Paul Effanga | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 25% |
| Corporate Director | Mar 4, 2019 | 25% | |
| Operational/Managerial Control | Mar 4, 2019 | 25% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Allen, TX
- NPI 1477597821
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": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1831652262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 WARM SPRINGS DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750021884",
"telephone_number": "214-697-0023",
"fax_number": "214-509-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 WARM SPRINGS DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750021884",
"telephone_number": "214-697-0023",
"fax_number": "214-509-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVITAL HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "EFFANGA",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-697-0023"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
- Madalyn Taylor Engelking, LPC
- Enhance Dental of Allen (LoveJoy Dentistry)
- Christopher Carlito Enriquez, PA-C, LAT, ATC
- Enso Group, LLC (Better Living Center for Behavioral Health)
- Envision Anesthesia PLLC
- Enzo BC LLC (Assisting Hands East Plano)
- Epic Pediatric Therapy, LP (Aveanna Healthcare)
- Epsilon Anesthesia Associates PLLC
- Equip Speech Services PLLC
- Eric Andersen PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.