Active NPI
Aline Home Healthcare of Texas Inc
- Home Health Agency
- Dallas, TX
National Provider Identifier
1841525458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 005977
- Legal business name
- ALINE HOME HEALTHCARE OF TEXAS INC
- Practice address
- 1140 Empire Central Dr Ste 625
Dallas, TX 75247-4332 - Phone
- (214) 267-1707
- Fax
- (214) 267-1720
- NPI assigned
- Oct 15, 2009
- 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
- Simon Odueze
- Title
- Administrator
- Phone
- (214) 267-1707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 005977 | TX | Primary |
Addresses
Primary practice location
1140 Empire Central Dr Ste 625
Dallas, TX 75247-4332
Mailing address
1140 Empire Central Dr Ste 625
Dallas, TX 75247-4332
Phone (214) 267-1707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024426101 | Medicaid | TX | |
| 001029485 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120328000261 | TX | Part A Provider - Home Health Agency | 4385804400 | Practice locations: Dallas, TX |
Home health agency certification: CCN 459472
- Legal name
- ALINE HOME HEALTHCARE OF TEXAS INC
- Doing business as
- ALINE HOME HEALTHCARE OF TEXAS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 5, 1999
- Last certification
- Mar 5, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 3, 2009 in TX
- Enrollment address
- 1140 Empire Central Dr
Ste 625
Dallas, TX 75247-4332
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aline Home Health Care of Texas Inc
- Ownership
- Proprietary
- Certified
- Oct 5, 1999
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1140 Empire Central Dr
Ste 625
Dallas, TX 75247
Phone (214) 267-1707
2351 W Northwest Hwy
Ste 3318
Dallas, TX 75220
Phone (214) 267-1707
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Simon Odueze | 5% Or Greater Direct Ownership Interest | Sep 3, 2009 | 100% |
| Corporate Officer | Sep 3, 2009 | ||
| Judy Egbujor | Corporate Director | Sep 3, 2009 | |
| W-2 Managing Employee | Sep 3, 2009 | ||
| Deneyce Adkins | W-2 Managing Employee | Sep 3, 2009 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1841525458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR STE 625",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474332",
"telephone_number": "214-267-1707",
"fax_number": "214-267-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EMPIRE CENTRAL DR STE 625",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474332",
"telephone_number": "214-267-1707",
"fax_number": "214-267-1720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALINE HOME HEALTHCARE OF TEXAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "ODUEZE",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-267-1707"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "005977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024426101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001029485",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.