Organization Active NPI

Envital Healthcare Inc

  • Home Health Agency
  • Allen, TX
National Provider Identifier
1831652262
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 11, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Mar 4, 2019 in TX
Enrollment address
1609 Warm Springs Dr
Allen, TX 75002-1884
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Envital Healthcare IncCCN 748015 · All quality measures
Ownership
Proprietary
Certified
Jun 9, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D2172694Envital Healthcare, Inc1609 Warm Springs Dr, Allen, TX 75002Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Kate Nwadeyi Individual 5% Or Greater Direct Ownership InterestSecretary Mar 4, 2019 50%
Corporate DirectorSecretary Mar 4, 2019 50%
Operational/Managerial ControlSecretary Mar 4, 2019 50%
Dorothy Effanga Individual 5% Or Greater Direct Ownership InterestPresident Mar 4, 2019 25%
Corporate DirectorPresident Mar 4, 2019 25%
Operational/Managerial ControlPresident Mar 4, 2019 25%
Paul Effanga Individual 5% Or Greater Direct Ownership InterestVice President Mar 4, 2019 25%
Corporate DirectorVice President Mar 4, 2019 25%
Operational/Managerial ControlVice President 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.

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

Sources for this page

Verify at the official NPI Registry.